SEC FORM 4 SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
SIMON PROPERTY GROUP INC /DE/

(Last) (First) (Middle)
225 WEST WASHINGTON STREET

(Street)
INDIANAPOLIS IN 46204

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Life Time Group Holdings, Inc. [ LTH ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
10/12/2021
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 10/12/2021 C 99,014 A (1) 2,099,014 I See footnote(2)
Common Stock 10/12/2021 P 512,820 A $18 2,611,834 I See footnote(2)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Series A Preferred Stock (1) 10/12/2021 C 80,393 (1) (1) Common Stock 99,014 (1) 0 I See footnote(2)
1. Name and Address of Reporting Person*
SIMON PROPERTY GROUP INC /DE/

(Last) (First) (Middle)
225 WEST WASHINGTON STREET

(Street)
INDIANAPOLIS IN 46204

(City) (State) (Zip)
1. Name and Address of Reporting Person*
SIMON PROPERTY GROUP L P /DE/

(Last) (First) (Middle)
225 WEST WASHINGTON STREET

(Street)
INDIANAPOLIS IN 46204

(City) (State) (Zip)
1. Name and Address of Reporting Person*
SLT Investors, LLC

(Last) (First) (Middle)
225 WEST WASHINGTON STREET

(Street)
INDIANAPOLIS IN 46204

(City) (State) (Zip)
Explanation of Responses:
1. Each share of Series A preferred stock automatically converted into common stock upon the closing of Life Time Group Holdings, Inc.'s initial public offering in accordance with the Certificate of Designations pertaining to the Series A preferred stock.
2. The shares of Common Stock and Series A preferred stock are directly held by SLT Investors, LLC, a wholly-owned direct subsidiary of Simon Property Group, L.P. Simon Property Group, Inc. is the sole general partner of Simon Property Group, L.P.
Remarks:
The Reporting Persons may be deemed to be members of a "group" for the purposes of the Securities Exchange Act of 1934 by virtue of being a party to the Life Time Group Holdings, Inc. Third Amended and Restated Stockholders Agreement. Each Reporting Person disclaims beneficial ownership of any securities deemed to be owned by the group that are not directly owned by the Reporting Person. This report shall not be deemed an admission that the Reporting Persons are a member of a group or the beneficial owner of any securities not directly owned by the Reporting Person. The Reporting Persons disclaim beneficial ownership of the securities except to the extent of their pecuniary interest therein.
/s/ Steven E. Fivel, as Secretary and General Counsel of Simon Property Group, Inc. 10/14/2021
/s/ Steven E. Fivel, as Secretary and General Counsel of Simon Property Group, Inc., the general partner of Simon Property Group, L.P. 10/14/2021
/s/ Steven E. Fivel, as Secretary and General Counsel of SLT Investors, LLC 10/14/2021
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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