0001209191-21-044098.txt : 20210630 0001209191-21-044098.hdr.sgml : 20210630 20210630185339 ACCESSION NUMBER: 0001209191-21-044098 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210629 FILED AS OF DATE: 20210630 DATE AS OF CHANGE: 20210630 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FELD BRADLEY A CENTRAL INDEX KEY: 0001065270 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40546 FILM NUMBER: 211063362 MAIL ADDRESS: STREET 1: C/O FOUNDRY GROUP STREET 2: 1050 WALNUT STREET, SUITE 210 CITY: BOULDER STATE: CO ZIP: 80302 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MCINTYRE RYAN A CENTRAL INDEX KEY: 0001248148 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40546 FILM NUMBER: 211063359 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FG Next GP 2018, LLC CENTRAL INDEX KEY: 0001739642 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40546 FILM NUMBER: 211063360 BUSINESS ADDRESS: STREET 1: 1050 WALNUT ST #210 CITY: BOULDER STATE: CO ZIP: 80302 BUSINESS PHONE: (303) 642-4050 MAIL ADDRESS: STREET 1: 1050 WALNUT ST #210 CITY: BOULDER STATE: CO ZIP: 80302 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Levine Seth CENTRAL INDEX KEY: 0001644983 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40546 FILM NUMBER: 211063361 MAIL ADDRESS: STREET 1: 1050 WALNUT STREET, SUITE 210 CITY: BOULDER STATE: CO ZIP: 80302 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Foundry Group Next 2018, L.P. CENTRAL INDEX KEY: 0001739641 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40546 FILM NUMBER: 211063363 BUSINESS ADDRESS: STREET 1: 1050 WALNUT ST #210 CITY: BOULDER STATE: CO ZIP: 80302 BUSINESS PHONE: (303) 642-4050 MAIL ADDRESS: STREET 1: 1050 WALNUT ST #210 CITY: BOULDER STATE: CO ZIP: 80302 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Xometry, Inc. CENTRAL INDEX KEY: 0001657573 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 320415449 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 7951 CESSNA AVENUE CITY: GAITHERSBURG STATE: MD ZIP: 20879 BUSINESS PHONE: 204-525-1138 MAIL ADDRESS: STREET 1: 7951 CESSNA AVENUE CITY: GAITHERSBURG STATE: MD ZIP: 20879 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2021-06-29 0 0001657573 Xometry, Inc. XMTR 0001739641 Foundry Group Next 2018, L.P. 1050 WALNUT ST #210 BOULDER CO 80302 0 0 1 0 0001065270 FELD BRADLEY A C/O FOUNDRY GROUP 1050 WALNUT STREET, SUITE 210 BOULDER CO 80302 0 0 1 0 0001644983 Levine Seth C/O FOUNDRY GROUP 1050 WALNUT STREET, SUITE 210 BOULDER CO 80302 0 0 1 0 0001739642 FG Next GP 2018, LLC 1050 WALNUT ST #210 BOULDER CO 80302 0 0 1 0 0001248148 MCINTYRE RYAN A C/O FOUNDRY GROUP 1050 WALNUT STREET, SUITE 210 BOULDER CO 80302 0 0 1 0 Series Seed-1 Preferred Stock Common Stock 104680 I See Footnote Series Seed-2 Preferred Stock Common Stock 46054 I See Footnote Series A-2 Preferred Stock Common Stock 59633 I See Footnote Series B Preferred Stock Common Stock 20470 I See Footnote Series B Preferred Stock Common Stock 534328 I See Footnote Series C Preferred Stock Common Stock 2273795 I See Footnote Series D Preferred Stock Common Stock 803748 I See Footnote Series E Preferred Stock Common Stock 119399 I See Footnote Each share of Series Seed-1 Preferred Stock, Series Seed-2 Preferred Stock, Series A-2 Preferred Stock, Series B Preferred Stock, Series C Preferred Stock, Series D Preferred Stock, and Series E Preferred Stock is convertible at any time at the option of the holder, without payment of additional consideration, into Common Stock, on a one-for-one basis, has no expiration date and is expected to automatically convert into shares of Class A Common Stock immediately prior to the closing of the Issuer's initial public offering. Shares are held by Foundry Group Next 2018, L.P. ("2018 LP"). FG Next GP 2018, LLC ("2018 LLC") is the general partner of 2018 LP and may be deemed to beneficially own the shares held by 2018 LP. Brad Feld, Ryan McIntyre and Seth Levine are managing members of 2018 LLC, and may be deemed to share voting and investment power over the shares held by 2018 LP. Each of 2018 LLC, and Messrs. Feld, McIntyre and Levine disclaims beneficial ownership in these shares except to the extent of his or its respective pecuniary interest therein. Shares are held by Foundry Venture Capital 2016, L.P. ("2016 LP"). Foundry Venture 2016, LLC ("2016 LLC") is the general partner of 2016 LP and may be deemed to beneficially own the shares held by 2016 LP. Brad Feld, Ryan McIntyre and Seth Levine are managing members of 2016 LLC, and may be deemed to share voting and investment power over the shares held by 2016 LP. Each of 2016 LLC, and Messrs. Feld, McIntyre and Levine disclaims beneficial ownership in these shares except to the extent of his or its respective pecuniary interest therein. Foundry Group Next 2018, L.P., By: FG Next GP 2018, LLC, its General Partner, By /s/ Bradley A. Feld, Managing Member 2021-06-30 /s/ Bradley A. Feld 2021-06-30 /s/ Seth A. Levine 2021-06-30 FG Next GP 2018, LLC, its General Partner, By /s/ Bradley A. Feld, Managing Member 2021-06-30 /s/ Ryan A. MacIntyre 2021-06-30