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