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Delaware
(State or other jurisdiction of
incorporation or organization) |
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7373
(Primary Standard Industrial
Classification Code Number) |
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84-2886542
(I.R.S. Employer
Identification No.) |
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William B. Brentani
Simpson Thacher & Bartlett LLP 2475 Hanover Street Palo Alto, California 94304 Tel: (650) 251-5000 Fax: (650) 251-5002 |
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Xiaohui (Hui) Lin
Simpson Thacher & Bartlett LLP 425 Lexington Avenue New York, New York 10017 Tel: (212) 455-2000 Fax: (212) 455-2502 |
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Large accelerated filer
☐
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Accelerated filer
☐
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Non-accelerated filer
☒
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Smaller reporting company
☐
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Emerging growth company
☒
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Page
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Shares of Common Stock
Beneficially Owned |
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Shares of
Common Stock that May be Offered for Resale |
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Shares of Common
Stock Beneficially Owned After the Sale of the Maximum Number of Shares of Common Stock |
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Name
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Number of
Shares |
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Percent of
Common Stock Outstanding |
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Number of
Shares |
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Percent of
Common Stock Outstanding |
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EQT(1) | | | | | 32,645,525 | | | | | | 18.7% | | | | | | 32,645,525 | | | | | | — | | | | | | — | | |
CPPIB(2) | | | | | 24,964,225 | | | | | | 14.3% | | | | | | 24,964,225 | | | | | | — | | | | | | — | | |
Bain(3) | | | | | 18,055,049 | | | | | | 10.4% | | | | | | 18,055,049 | | | | | | — | | | | | | — | | |
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Filing Fee – Securities and Exchange Commission
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| | | $ | 436,149 | | |
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Fees and Expenses of Counsel
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| | | | * | | |
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Fees and Expenses of Accountants
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Miscellaneous Expenses
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Total
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Exhibit
Number |
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Description
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1.1* | | | Form of Underwriting Agreement. | |
4.1 | | | Amended and Restated Certificate of Incorporation of Waystar Holding Corp. (incorporated by reference to Exhibit 4.1 to the Company’s Registration Statement on Form S-8 filed on June 10, 2024). | |
4.2 | | | Certificate of Amendment to the Amended and Restated Certificate of Incorporation of Waystar Holding Corp. (incorporated by reference to Exhibit 3.1 to the Company’s Current Report on Form 8-K filed on June 5, 2025). | |
4.3 | | | | |
5.1 | | | | |
23.1 | | | | |
23.2 | | | | |
24.1 | | | | |
107 | | | |
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Signatures
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Title
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/s/ Matthew J. Hawkins
Matthew J. Hawkins
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Chief Executive Officer and Director
(principal executive officer) |
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/s/ Steven M. Oreskovich
Steven M. Oreskovich
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Chief Financial Officer
(principal financial officer and principal accounting officer) |
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/s/ Samuel Blaichman
Samuel Blaichman
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Director
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/s/ Robert DeMichiei
Robert DeMichiei
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Director
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/s/ Aashima Gupta
Aashima Gupta
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Director
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/s/ John Driscoll
John Driscoll
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Director
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/s/ Priscilla Hung
Priscilla Hung
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Director
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/s/ Eric C. Liu
Eric C. Liu
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Director
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Signatures
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Title
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/s/ Heidi G. Miller
Heidi G. Miller
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Director
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/s/ Paul Moskowitz
Paul Moskowitz
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Director
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/s/ Vivian E. Riefberg
Vivian E. Riefberg
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Director
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/s/ Michael Roman
Michael Roman
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Director
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/s/ Ethan Waxman
Ethan Waxman
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Director
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