0001213900-21-032579.txt : 20210615 0001213900-21-032579.hdr.sgml : 20210615 20210615171557 ACCESSION NUMBER: 0001213900-21-032579 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210609 FILED AS OF DATE: 20210615 DATE AS OF CHANGE: 20210615 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gayhardt Donald CENTRAL INDEX KEY: 0001298489 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39116 FILM NUMBER: 211019578 MAIL ADDRESS: STREET 1: DOLLAR FINANCIAL CORP. STREET 2: 1436 LANCASTER AVE. CITY: BERWYN STATE: PA ZIP: 19312 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Katapult Holdings, Inc. CENTRAL INDEX KEY: 0001785424 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-EQUIPMENT RENTAL & LEASING, NEC [7359] IRS NUMBER: 842704291 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1345 AVENUE OF THE AMERICAS 11TH FL CITY: NEW YORK STATE: NY ZIP: 10105 BUSINESS PHONE: 2123701300 MAIL ADDRESS: STREET 1: 1345 AVENUE OF THE AMERICAS 11TH FL CITY: NEW YORK STATE: NY ZIP: 10105 FORMER COMPANY: FORMER CONFORMED NAME: FinServ Acquisition Corp. DATE OF NAME CHANGE: 20190814 4 1 ownership.xml X0306 4 2021-06-09 0 0001785424 Katapult Holdings, Inc. KPLT 0001298489 Gayhardt Donald C/O KATAPULT HOLDINGS, INC. 5204 TENNYSON PARKWAY, SUITE 500 PLANO TX 75024 1 0 1 0 Common Stock 2021-06-09 4 J 0 21892864 0 A 21892864 I See footnote Shares were acquired pursuant to Katapult Holdings, Inc's (the "Issuer") initial business combination in exchange for shares of the legacy Katapult Holdings, Inc. entity that were owned by Curo Financial Technologies Corp. prior to the Closing. Includes earn out shares granted in connection with the Issuer's initial business combination, subject to certain vesting provisions. Shares held by CURO Financial Technologies Corp., of which Mr. Gayhardt is a director and Chief Executive Officer, and who may share voting or dispositive power over such shares. Mr. Gayhardt disclaims any beneficial ownership of the reported shares other than to the extent of any pecuniary interest he may have therein, directly or indirectly. /s/ Don Gayhardt 2021-06-14