0001127602-24-017375.txt : 20240603
0001127602-24-017375.hdr.sgml : 20240603
20240603184508
ACCESSION NUMBER: 0001127602-24-017375
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240530
FILED AS OF DATE: 20240603
DATE AS OF CHANGE: 20240603
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LAWRENCE JEFFREY D
CENTRAL INDEX KEY: 0001651480
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40638
FILM NUMBER: 241015506
MAIL ADDRESS:
STREET 1: 30 FRANK LLOYD WRIGHT DR
CITY: ANN ARBOR
STATE: MI
ZIP: 48105
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Xponential Fitness, Inc.
CENTRAL INDEX KEY: 0001802156
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS AMUSEMENT & RECREATION [7990]
ORGANIZATION NAME: 07 Trade & Services
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
2024-05-30
0001802156
Xponential Fitness, Inc.
XPOF
0001651480
LAWRENCE JEFFREY D
17877 VON KARMAN AVE, SUITE 100
C/O XPONENTIAL FITNESS, INC.
IRVINE
CA
92614
1
0
Class A Common Stock
2024-05-30
4
A
0
9888
0
A
10369
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 2024 Annual Meeting of Stockholders.
/s/ John P Meloun, as Attorney-in-Fact for Jeffrey D. Lawrence
2024-06-03