SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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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1. Name and Address of Reporting Person* Heiman Matthew R. A. (Last) (First) (Middle) 1550 DIGITAL DRIVE, #300 (Street) LEHI UT 84043 (City) (State) (Zip)	2. Date of Event Requiring Statement (Month/Day/Year) 06/07/2024	3. Issuer Name and Ticker or Trading Symbol Waystar Holding Corp. [ WAY ]
		4. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director 10% Owner Officer (give title below) Other (specify below) See Remarks	5. If Amendment, Date of Original Filed (Month/Day/Year)
			6. Individual or Joint/Group Filing (Check Applicable Line) Form filed by One Reporting Person Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Stock Options (right to buy)	(1)	05/25/2030	Common Stock	136,125	16.53	D
Stock Options (right to buy)	(2)	08/16/2032	Common Stock	15,125	33.06	D
Stock Options (right to buy)	(3)	05/01/2034	Common Stock	30,250	37.2	D
Stock Options (right to buy)	(4)	06/06/2034	Common Stock	217,391	21.5	D

Explanation of Responses:

1. Options granted on May 25, 2020 of which 50% of the option vests in five substantially equal annual installments commencing on May 25, 2021 and the remaining 50% of the option vests upon achievement of certain specified performance-based vesting criteria.

2. Options granted on August 16, 2022 of which 50% of the option vests in five substantially equal annual installments commencing on August 16, 2023 and the remaining 50% of the option vests upon achievement of certain specified performance-based vesting criteria.

3. Options granted on May 1, 2024 which vest in three equal annual installments commencing on May 1, 2025.

4. Options granted on June 6, 2024 which vest in five equal annual installments commencing on June 6, 2025.

Remarks:

Title: Chief Legal & Administrative Officer. Exhibit 24 - Power of Attorney.

	/s/ Matthew R. A. Heiman	06/07/2024
	** 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 5 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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Exhibit 24

 

Power of Attorney

 

Know all by these presents that the undersigned, does hereby make, constitute and appoint STEVEN M. ORESKOVICH 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 WAYSTAR HOLDING CORP. (i) pursuant to Section 16(a) of the Securities Exchange Act of 1934, as amended, including without limitation, statements on Form 3, Form 4 and Form 5 (including any amendments thereto) and (ii) in connection with any applications for EDGAR access codes, 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 and 5 with regard to his or her ownership of or transactions in securities of WAYSTAR HOLDING CORP., unless earlier revoked in writing. The undersigned acknowledges that STEVEN M. ORESKOVICH is not assuming any of the undersigned’s responsibilities to comply with Section 16 of the Securities Exchange Act of 1934, as amended.

 

	By:		/s/ Matthew R. A. Heiman
	Name:		Matthew R. A. Heiman

 

Date: May 20, 2024