0001127602-23-023869.txt : 20230907
0001127602-23-023869.hdr.sgml : 20230907
20230907191130
ACCESSION NUMBER: 0001127602-23-023869
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230906
FILED AS OF DATE: 20230907
DATE AS OF CHANGE: 20230907
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: 231243431
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
2023-09-06
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
2023-09-06
4
P
0
1000
19.45
A
12886
D
/s/ John Meloun, as Attorney-in-Fact, for Chelsea Grayson
2023-09-07