0001127602-23-022900.txt : 20230817
0001127602-23-022900.hdr.sgml : 20230817
20230817213701
ACCESSION NUMBER: 0001127602-23-022900
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230510
FILED AS OF DATE: 20230817
DATE AS OF CHANGE: 20230817
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GRAYSON CHELSEA A
CENTRAL INDEX KEY: 0001628264
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40638
FILM NUMBER: 231183657
MAIL ADDRESS:
STREET 1: 1116 SOUTH RIDGELEY DRIVE
CITY: LOS ANGELES
STATE: CA
ZIP: 90019
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Xponential Fitness, Inc.
CENTRAL INDEX KEY: 0001802156
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS AMUSEMENT & RECREATION [7990]
IRS NUMBER: 844395129
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 17877 VON KARMAN AVE
STREET 2: SUITE 100
CITY: IRVINE
STATE: CA
ZIP: 92614
BUSINESS PHONE: 6507522078
MAIL ADDRESS:
STREET 1: 17877 VON KARMAN AVE
STREET 2: SUITE 100
CITY: IRVINE
STATE: CA
ZIP: 92614
4
1
form4.xml
PRIMARY DOCUMENT
X0508
4
2023-05-10
0001802156
Xponential Fitness, Inc.
XPOF
0001628264
GRAYSON CHELSEA A
17877 VON KARMAN AVE, SUITE 100
C/O XPONENTIAL FITNESS, INC.
IRVINE
CA
92614
1
0
Class A Common Stock
2023-05-10
4
A
0
2901
0
A
11886
D
Represents the Issuer's Class A common stock subject to restricted stock units (RSUs) award granted to the Reporting Person for services on the Issuer's board of directors. All shares subject to the RSUs will vest, subject to continued service, on the first anniversary date of the Issuer's 2023 Annual Meeting of Stockholders.
/s/ John Meloun, as Attorney-in-Fact, for Chelsea Grayson
2023-08-17