0001062993-23-018938.txt : 20231004
0001062993-23-018938.hdr.sgml : 20231004
20231004081222
ACCESSION NUMBER: 0001062993-23-018938
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230828
FILED AS OF DATE: 20231004
DATE AS OF CHANGE: 20231004
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CPF III PT SPV, LLC
CENTRAL INDEX KEY: 0001975601
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40033
FILM NUMBER: 231306607
BUSINESS ADDRESS:
STREET 1: 980 NORTH MICHIGAN AVENUE
STREET 2: SUITE 1998
CITY: CHICAGO
STATE: IL
ZIP: 60611
BUSINESS PHONE: (312) 273-4750
MAIL ADDRESS:
STREET 1: 980 NORTH MICHIGAN AVENUE
STREET 2: SUITE 1998
CITY: CHICAGO
STATE: IL
ZIP: 60611
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CPF III-A PT SPV, LLC
CENTRAL INDEX KEY: 0001975600
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40033
FILM NUMBER: 231306606
BUSINESS ADDRESS:
STREET 1: 980 NORTH MICHIGAN AVENUE
STREET 2: SUITE 1998
CITY: CHICAGO
STATE: IL
ZIP: 60611
BUSINESS PHONE: (312) 273-4750
MAIL ADDRESS:
STREET 1: 980 NORTH MICHIGAN AVENUE
STREET 2: SUITE 1998
CITY: CHICAGO
STATE: IL
ZIP: 60611
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Chicago Pacific Founders GP III, L.P.
CENTRAL INDEX KEY: 0001975828
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40033
FILM NUMBER: 231306608
BUSINESS ADDRESS:
STREET 1: 980 NORTH MICHIGAN AVENUE
STREET 2: SUITE 1998
CITY: CHICAGO
STATE: IL
ZIP: 60611
BUSINESS PHONE: (312) 273-4750
MAIL ADDRESS:
STREET 1: 980 NORTH MICHIGAN AVENUE
STREET 2: SUITE 1998
CITY: CHICAGO
STATE: IL
ZIP: 60611
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Chicago Pacific Founders UGP III, LLC
CENTRAL INDEX KEY: 0001975658
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40033
FILM NUMBER: 231306609
BUSINESS ADDRESS:
STREET 1: 980 NORTH MICHIGAN AVENUE
STREET 2: SUITE 1998
CITY: CHICAGO
STATE: IL
ZIP: 60611
BUSINESS PHONE: (312) 273-4750
MAIL ADDRESS:
STREET 1: 980 NORTH MICHIGAN AVENUE
STREET 2: SUITE 1998
CITY: CHICAGO
STATE: IL
ZIP: 60611
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: P3 Health Partners Inc.
CENTRAL INDEX KEY: 0001832511
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HEALTH SERVICES [8000]
IRS NUMBER: 852992794
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2045 W GRAND AVE STE B
STREET 2: PMB # 82152
CITY: CHICAGO
STATE: IL
ZIP: 60612-1577
BUSINESS PHONE: 312-822-8897
MAIL ADDRESS:
STREET 1: 2045 W GRAND AVE STE B
STREET 2: PMB # 82152
CITY: CHICAGO
STATE: IL
ZIP: 60612-1577
FORMER COMPANY:
FORMER CONFORMED NAME: Foresight Acquisition Corp.
DATE OF NAME CHANGE: 20201116
4/A
1
form4a.xml
AMENDED STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
X0508
4/A
2023-08-28
2023-08-30
0001832511
P3 Health Partners Inc.
PIII
0001975658
Chicago Pacific Founders UGP III, LLC
980 NORTH MICHIGAN AVENUE, SUITE 1998
CHICAGO
IL
60611
0
0
1
0
0001975828
Chicago Pacific Founders GP III, L.P.
980 NORTH MICHIGAN AVENUE, SUITE 1998
CHICAGO
IL
60611
0
0
1
0
0001975601
CPF III PT SPV, LLC
980 NORTH MICHIGAN AVENUE, SUITE 1998
CHICAGO
IL
60611
0
0
1
0
0001975600
CPF III-A PT SPV, LLC
980 NORTH MICHIGAN AVENUE, SUITE 1998
CHICAGO
IL
60611
0
0
1
0
0
Class A Common Stock
49215442
I
See Footnote
On August 30, 2023, the reporting persons mistakenly filed a Form 4 reporting a purchase of 90,000 shares of Class A Common Stock that did not in fact occur. As of August 30, 2023, the reporting persons owned only 49,215,442 shares of Class A Common Stock.
Chicago Pacific Founders UGP, III LLC ("UGP III") is the general partner of Chicago Founders GP III, LP ("GP III"), the general partner of each of SPV III and SPV III-A. As a result, UGP III has the power to vote and dispose of the Issuer's securities held by SPV III and SPV III-A (the "Underlying Securities"). Each of UGP III and GP III disclaims beneficial ownership for the amount in excess of their pecuniary interest in the Underlying Securities.
Chicago Pacific Founders UGP III, LLC, /s/ Michael Wilson, authorized signatory
2023-10-04
Chicago Pacific Founders GP III, L.P., /s/ Michael Wilson, authorized signatory
2023-10-04
CPF III PT SPV, LLC, /s/ Michael Wilson, authorized signatory
2023-10-04
CPF III-A PT SPV, LLC, /s/ Michael Wilson, authorized signatory
2023-10-04