0000899243-23-017001.txt : 20230705 0000899243-23-017001.hdr.sgml : 20230705 20230705195231 ACCESSION NUMBER: 0000899243-23-017001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230701 FILED AS OF DATE: 20230705 DATE AS OF CHANGE: 20230705 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shuey Eric CENTRAL INDEX KEY: 0001864362 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40478 FILM NUMBER: 231071610 MAIL ADDRESS: STREET 1: 4800 N. SCOTTSDALE ROAD STREET 2: SUITE 6000 CITY: SCOTTSDALE STATE: AZ ZIP: 85251 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LifeStance Health Group, Inc. CENTRAL INDEX KEY: 0001845257 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HEALTH SERVICES [8000] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4800 N. SCOTTSDALE ROAD STREET 2: SUITE 6000 CITY: SCOTTSDALE STATE: AZ ZIP: 85251 BUSINESS PHONE: 602-767-2100 MAIL ADDRESS: STREET 1: 4800 N. SCOTTSDALE ROAD STREET 2: SUITE 6000 CITY: SCOTTSDALE STATE: AZ ZIP: 85251 4 1 doc4.xml FORM 4 SUBMISSION X0407 4 2023-07-01 0 0001845257 LifeStance Health Group, Inc. LFST 0001864362 Shuey Eric C/O LIFESTANCE HEALTH GROUP, INC. 4800 N. SCOTTSDALE ROAD, SUITE 6000 SCOTTSDALE AZ 85251 1 0 0 0 0 Common Stock 2023-07-01 4 A 0 21905 0.00 A 21905 D Common Stock 1110924 I By Trust Includes 21,905 restricted stock units ("RSUs"). Each RSU represents a contingent right to receive one share of the Issuer's common stock. Includes 101,227 shares of restricted stock. Shares held of record by the Eric Shuey Gift Trust. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these securities on this report shall not be deemed an admission that the Reporting Person is the beneficial owner of the reported securities for purposes of Section 16 of Securities Exchange Act of 1934 or for any other purpose. By: /s/ Ryan Pardo, Attorney-in-Fact 2023-07-05