0000950170-24-008087.txt : 20240126 0000950170-24-008087.hdr.sgml : 20240126 20240126204751 ACCESSION NUMBER: 0000950170-24-008087 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20240126 FILED AS OF DATE: 20240126 DATE AS OF CHANGE: 20240126 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Barnes Robert Allen CENTRAL INDEX KEY: 0001891193 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41938 FILM NUMBER: 24569837 MAIL ADDRESS: STREET 1: 805 N. WHITTINGTON PARKWAY CITY: LOUISVILLE STATE: KY ZIP: 40222 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BrightSpring Health Services, Inc. CENTRAL INDEX KEY: 0001865782 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOME HEALTH CARE SERVICES [8082] ORGANIZATION NAME: 08 Industrial Applications and Services IRS NUMBER: 822956404 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 805 N. WHITTINGTON PARKWAY CITY: LOUISVILLE STATE: KY ZIP: 40222 BUSINESS PHONE: 502-394-2100 MAIL ADDRESS: STREET 1: 805 N. WHITTINGTON PARKWAY CITY: LOUISVILLE STATE: KY ZIP: 40222 3 1 ownership.xml 3 X0206 3 2024-01-26 0 0001865782 BrightSpring Health Services, Inc. BTSG 0001891193 Barnes Robert Allen C/O BRIGHTSPRING HEALTH SERVICES, INC. 805 N. WHITTINGTON PARKWAY LOUISVILLE KY 40222 false true false false President, Community Living Common Stock 3124 D Stock Options (Right to Buy) 6.37 2029-09-24 Common Stock 105993 D Stock Options (Right to Buy) 7.01 2030-05-12 Common Stock 8832 D Stock Options (Right to Buy) 13.00 2034-01-25 Common Stock 16919 D Options granted on September 24, 2019, of which 35,331 vested on January 25, 2024 in connection with the pricing of the Issuer's initial public offering, with the remaining options subject to a time-based vesting schedule, vesting in five equal annual installments commencing March 5, 2020. Reflects a 15.7027-for-1 forward stock split of the Issuer's common stock, which became effective on January 25, 2024 (the "Stock Split"). Does not include unvested performance-based options which will be reported when earned upon achievement of certain performance criteria. Options granted on May 12, 2020, of which 2,944 vested on January 25, 2024 in connection with the pricing of the Issuer's initial public offering, with the remaining options subject to a time-based vesting schedule, vesting in five equal annual installments commencing May 12, 2021. Reflects the Stock Split. Does not include unvested performance-based options which will be reported when earned upon achievement of certain performance criteria. Options granted on January 25, 2024 which vest in three equal annual installments commencing on January 25, 2025. Exhibit List: Exhibit 24 - Power of Attorney /s/ Steven S. Reed, as Attorney-in-Fact 2024-01-26 EX-24 2 btsg-ex24.htm EX-24 EX-24

Exhibit 24

 

 

POWER OF ATTORNEY

 

Know all by these presents that the undersigned, does hereby make, constitute and appoint each of Steven S. Reed and Allison L. Brown, or any one of them, as a true and lawful attorney-in-fact of the undersigned with full powers of substitution and revocation, for and in the name, place and stead of the undersigned (in the undersigned's individual capacity), to execute and deliver such forms that the undersigned may be required to file with the U.S. Securities and Exchange Commission as a result of the undersigned's ownership of or transactions in securities of BrightSpring Health Services, Inc. (the “Company”) (i) pursuant to Section 16(a) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), including, without limitation, statements on Form 3, Form 4 and Form 5 (including any amendments thereto), (ii) pursuant to Rule 144 under the Securities Act of 1933, as amended (the “Securities Act”), including, without limitation, notices on Form 144 (including any amendments thereto), and (iii) in connection with any applications for EDGAR access codes or any other documents necessary or appropriate to obtain codes and passwords enabling the undersigned to make electronic filings with the Securities and Exchange Commission, including without limitation the Form ID.

 

The Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4, 5 and 144 with regard to his or her ownership of or transactions in securities of the Company, unless earlier revoked in writing. The undersigned acknowledges that Steven S. Reed and Allison L. Brown are not assuming any of the undersigned's responsibilities to comply with Section 16 of the Exchange Act or Rule 144 under the Securities Act.

 

 

By:

/s/ Robert Allen Barnes

Name:

Robert Allen Barnes

 

Date: October 3, 2023