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