0001209191-21-045901.txt : 20210707
0001209191-21-045901.hdr.sgml : 20210707
20210707180410
ACCESSION NUMBER: 0001209191-21-045901
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210702
FILED AS OF DATE: 20210707
DATE AS OF CHANGE: 20210707
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FELD BRADLEY A
CENTRAL INDEX KEY: 0001065270
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40546
FILM NUMBER: 211078433
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40546
FILM NUMBER: 211078432
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40546
FILM NUMBER: 211078434
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40546
FILM NUMBER: 211078431
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40546
FILM NUMBER: 211078430
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
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-07-02
1
0001657573
Xometry, Inc.
XMTR
0001739641
Foundry Group Next 2018, L.P.
1050 WALNUT ST #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
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
0001248148
MCINTYRE RYAN A
C/O FOUNDRY GROUP
1050 WALNUT STREET, SUITE 210
BOULDER
CO
80302
0
0
1
0
Class A Common Stock
2021-07-02
4
C
0
3427779
A
3427779
I
See Footnote
Class A Common Stock
2021-07-02
4
C
0
534328
A
534328
I
See Footnote
Series Seed-1 Preferred Stock
2021-07-02
4
C
0
104680
0.00
D
Class A Common Stock
104680
0
I
See Footnote
Series Seed-2 Preferred Stock
2021-07-02
4
C
0
46054
0.00
D
Class A Common Stock
46054
0
I
See Footnote
Series A-2 Preferred Stock
2021-07-02
4
C
0
59633
0.00
D
Class A Common Stock
59633
0
I
See Footnote
Series B Preferred Stock
2021-07-02
4
C
0
20470
0.00
D
Class A Common Stock
20470
0
I
See Footnote
Series B Preferred Stock
2021-07-02
4
C
0
534328
0.00
D
Class A Common Stock
534328
0
I
See Footnote
Series C Preferred Stock
2021-07-02
4
C
0
2273795
0.00
D
Class A Common Stock
2273795
0
I
See Footnote
Series D Preferred Stock
2021-07-02
4
C
0
803748
0.00
D
Class A Common Stock
803748
0
I
See Footnote
Series E Preferred Stock
2021-07-02
4
C
0
119399
0.00
D
Class A Common Stock
119399
0
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 converted into shares of Class A Common Stock immediately prior to the closing of the Issuer's initial public offering (the "IPO") for no additional consideration, on a one-for-one basis, and had no expiration date.
Shares are held by Foundry Group Next 2018, L.P. ("2018 LP"). FG Next GP 2018, LLC ("2018 LLC") is the generalpartner 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 theshares held by 2018 LP. Each of 2018 LLC, and Messrs. Feld, McIntyre and Levine disclaims beneficial ownership inthese 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: FGNext GP 2018, LLC, its General Partner,By /s/ Bradley A. Feld, Managing Member
2021-07-07
FG Next GP 2018, LLC, its GeneralPartner, By /s/ Bradley A. Feld, ManagingMember
2021-07-07
/s/ Bradley A. Feld
2021-07-07
/s/ Seth A. Levine
2021-07-07
/s/ Ryan A. MacIntyre
2021-07-07