0001628280-23-021620.txt : 20230608 0001628280-23-021620.hdr.sgml : 20230608 20230608205023 ACCESSION NUMBER: 0001628280-23-021620 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230606 FILED AS OF DATE: 20230608 DATE AS OF CHANGE: 20230608 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: 231003608 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 wk-form4_1686271812.xml FORM 4 X0407 4 2023-06-06 0 0001785424 Katapult Holdings, Inc. KPLT 0001298489 Gayhardt Donald 5204 TENNYSON PARKWAY ST. 500 PLANO TX 75024-7141 1 0 1 0 0 Common Stock 2023-06-06 4 M 0 23810 0 A 151786 D Common Stock 2023-06-06 4 A 0 238095 0 A 389881 D Restricted Stock Units 2023-06-06 4 M 0 23810 0 D Common Stock 23810 0 D Restricted stock units ("RSUs") convert into shares of the Issuer's Common Stock on a one-for-one basis. The transaction represents the deferral of settlement of 23,810 vested RSUs pursuant to the Reporting Person's election under the Issuer's Non-Employee Directors Deferred Compensation Plan. Annual grant of deferred restricted stock units ("DSUs") for service as a director of the Issuer. Each DSU vests on the earlier of (i) June 6, 2024 and (ii) the date of the Issuer's 2024 Annual Meeting of Stockholders; subject to the Reporting Person's continued service as a director of the Issuer through the vesting date, and represents a contingent right to receive one share of the Issuer's common stock. On September 9, 2021, the Reporting Person was granted RSUs, of which the remaining 23,810 vested on June 6, 2023. Settlement of the remaining DSUs is deferred upon vesting pursuant to the Reporting Person's election under the Issuer's Non-Employee Directors Deferred Compensation Plan /s/ By: Christopher Towers, as Attorney-in-Fact for Don Gayhardt 2023-06-08