Sec Form 4 Filing - Abdou Sherif @ P3 Health Partners Inc. - 2021-12-03

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Abdou Sherif
2. Issuer Name and Ticker or Trading Symbol
P3 Health Partners Inc. [ PIII]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director X __ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Chief Executive Officer
(Last) (First) (Middle)
C/O P3 HEALTH PARTNERS INC., 2370 CORPORATE CIRCLE, SUITE 300
3. Date of Earliest Transaction (MM/DD/YY)
12/03/2021
(Street)
HENDERSON, NV89074
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 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
Class V Common Stock( 1 ) 12/03/2021 A 9,626,075( 2 ) A $ 962.61( 3 ) 9,626,075( 2 ) I By NA 2021 GRAT( 4 )
Class V Common Stock( 1 ) 12/03/2021 A 3,058,479( 6 ) A $ 305.85( 3 ) 3,058,479( 6 ) I By NA 2021 Trust( 7 )
Class V Common Stock( 1 ) 12/03/2021 A 1,408,437( 8 ) A $ 140.84( 3 ) 1,408,437( 8 ) I By NA Charitable Trust( 9 )
Class V Common Stock( 1 ) 12/03/2021 A 9,626,075( 2 ) A $ 962.61( 3 ) 9,626,075( 2 ) I By SA 2021 GRAT( 10 )
Class V Common Stock( 1 ) 12/03/2021 A 3,058,479( 6 ) A $ 305.85( 3 ) 3,058,479( 6 ) I By SA 2021 Trust( 11 )
Class V Common Stock( 1 ) 12/03/2021 A 1,408,4 37( 8 ) A $ 140.84( 3 ) 1,408,437( 8 ) I By SA Charitable Trust( 12 )
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 (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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 of Derivative Security: 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
Common Units( 3 ) ( 5 ) 12/03/2021 A 9,626,075( 2 ) ( 5 ) ( 5 ) Class A Common Stock 9,626,075 ( 3 ) 9,626,075( 2 ) I By NA 2021 GRAT( 4 )
Common Units( 3 ) ( 5 ) 12/03/2021 A 3,058,479( 6 ) ( 5 ) ( 5 ) Class A Common Stock 3,058,479 ( 3 ) 3,058,479( 6 ) I By NA 2021 Trust( 7 )
Common Units( 3 ) ( 5 ) 12/03/2021 A 1,408,437( 8 ) ( 5 ) ( 5 ) Class A Common Stock 1,408,437 ( 3 ) 1,408,437( 8 ) I By NA Charitable Trust( 9 )
Common Units( 3 ) ( 5 ) 12/03/2021 A 9,626,075( 2 ) ( 5 ) ( 5 ) Class A Common Stock 9,626,075 ( 3 ) 9,626,075( 2 ) I By SA 2021 GRAT( 10 )
Common Units( 3 ) ( 5 ) 12/03/2021 A 3,058,479( 6 ) ( 5 ) ( 5 ) Class A Common Stock 3,058,479 ( 3 ) 3,058,479( 6 ) I By SA 2021 Trust( 11 )
Common Units( 3 ) ( 5 ) 12/03/2021 A 1,408,437( 8 ) ( 5 ) ( 5 ) Class A Common Stock 1,408,437 ( 3 ) 1,408,437( 8 ) I By SA Charitable Trust( 12 )
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Abdou Sherif
C/O P3 HEALTH PARTNERS INC.
2370 CORPORATE CIRCLE, SUITE 300
HENDERSON, NV89074
X X Chief Executive Officer
Signatures
/s/ Jessica Puathasnanon, as attorney-in-fact 12/07/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Upon the redemption of any Common Units (as defined below), a number of shares of Class V Common Stock equal to the number of Common Units that are redeemed will be cancelled by the Issuer for no consideration.
( 2 )Includes 906,068 shares of Class V common stock and 906,068 Common Units of P3 Health Group, LLC being held in escrow following the business combination described below until the resolution of a dispute among the former unitholders of P3 Health Group Holdings, LLC in accordance with the Merger Agreement (as defined below).
( 3 )At the closing of the business combination pursuant to the Agreement and Plan of Merger (the "Merger Agreement"), as described in the Issuer's definitive proxy statement on Schedule 14A filed with the Securities and Exchange Commission on October 28, 2021, as supplemented, the reporting person received Common Units of P3 Health Group, LLC (the "Common Units"), a direct subsidiary of the Issuer, as consideration for the common units of P3 Health Group Holdings, LLC. In connection with the receipt of Common Units, each recipient subscribed for an equal number of shares of Class V Common Stock of the Issuer for a purchase price equal to par value.
( 4 )These securities are held by the NA 2021 GRAT, a grantor retained annuity trust of which the reporting person and his spouse serve as trustees.
( 5 )The Common Units are redeemable at any time by the reporting person for, at the election of the Issuer, newly-issued Class A Common Stock of the Issuer on a one-for-one basis or a cash payment equal to the volume weighted average market price of one share of Class A Common Stock for each Common Unit redeemed. Upon the redemption of any Common Units, a number of shares of Class V Common Stock of the Issuer equal to the number of Common Units that are redeemed will be cancelled by the Issuer for no consideration.
( 6 )Includes 287,883 shares of Class V common stock and 287,883 Common Units of P3 Health Group, LLC being held in escrow following the business combination described above until the resolution of a dispute among the former unitholders of P3 Health Group Holdings, LLC in accordance with the Merger Agreement.
( 7 )These securities are held by the NA 2021 Trust, a trust for the benefit of the reporting person and his children, of which the reporting person and his spouse serve as trustees.
( 8 )Includes 132,571 shares of Class V common stock and 132,571 Common Units of P3 Health Group, LLC being held in escrow following the business combination described above until the resolution of a dispute among the former unitholders of P3 Health Group Holdings, LLC in accordance with the Merger Agreement.
( 9 )These securities are held by the NA Charitable Trust, a charitable remainder trust of which the reporting person, his spouse and his children serve as trustees, and of which the reporting person and his spouse are beneficiaries.
( 10 )These securities are held by the SA 2021 GRAT, a grantor retained annuity trust of which the reporting person and his spouse serve as trustees.
( 11 )These securities are held by the SA 2021 Trust, a trust for the benefit of the reporting person and his children, of which the reporting person and his spouse serve as trustees.
( 12 )These securities are held by the SA Charitable Trust, a charitable remainder trust of which the reporting person, his spouse and his children serve as trustees, and of which the reporting person and his spouse are beneficiaries.

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