0001209191-21-044213.txt : 20210630 0001209191-21-044213.hdr.sgml : 20210630 20210630213909 ACCESSION NUMBER: 0001209191-21-044213 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20210629 FILED AS OF DATE: 20210630 DATE AS OF CHANGE: 20210630 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mayerhofer Kathy CENTRAL INDEX KEY: 0001869940 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40546 FILM NUMBER: 211063775 MAIL ADDRESS: STREET 1: 7529 STANDISH PLACE STREET 2: SUITE 200 CITY: DERWOOD STATE: CA ZIP: 20855 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Xometry, Inc. CENTRAL INDEX KEY: 0001657573 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 320415449 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 7951 CESSNA AVENUE CITY: GAITHERSBURG STATE: MD ZIP: 20879 BUSINESS PHONE: 204-525-1138 MAIL ADDRESS: STREET 1: 7951 CESSNA AVENUE CITY: GAITHERSBURG STATE: MD ZIP: 20879 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2021-06-29 0 0001657573 Xometry, Inc. XMTR 0001869940 Mayerhofer Kathy 7529 STANDISH PLACE SUITE 200 DERWOOD MD 20855 0 1 0 0 Chief Sales Officer Common Stock 76249 D Stock Option (right to buy) 1.65 2028-01-29 Common Stock 3854 D Stock Option (right to buy) 1.26 2027-03-22 Common Stock 1042 D Stock Option (right to buy) 1.68 2029-02-19 Common Stock 21563 D Stock Option (right to buy) 3.65 2030-04-27 Common Stock 20000 D Stock Option (right to buy) 12.32 2031-03-25 Common Stock 55000 D One quarter (1/4) of the shares vested on January 1, 2019, and thereafter, the remainder of the shares vest in 36 equal monthly installments, subject to the Reporting Person's continuous service. Fully vested. One quarter (1/4) of the shares vested on January 1, 2020, and thereafter, the remainder of the shares vest in 36 equal monthly installments, subject to the Reporting Person's continuous service. One quarter (1/4) of the shares vested on January 1, 2021, and thereafter, the remainder of the shares vest in 36 equal monthly installments, subject to the Reporting Person's continuous service. One quarter (1/4) of the shares shall vest on January 1, 2022, and thereafter, the remainder of the shares shall vest in 36 equal monthly installments, subject to the Reporting Person's continuous service. Exhibit List -- Exhibit 24 -- Power of Attorney /s/ Dorothy Vinsky, Attorney-in-Fact 2021-06-29 EX-24 2 attachment1.htm EX-24 DOCUMENT
POWER OF ATTORNEY
(For Executing Form ID and
Forms 3, 4 and 5)

      Know all by these presents, that the undersigned hereby
constitutes and appoints each of Sam Lipson, Dennis Craig II
and Dorothy Vinsky of Cooley LLP, and Kristie Scott and James
Rallo of Xometry, Inc. (the "Company"), signing individually,
the undersigned's true and lawful attorneys-in-fact and agents
to:

      (1)	Prepare, execute in the undersigned's name and on the
undersigned's behalf, and submit to the Securities and Exchange
Commission (the "SEC"), a Form ID and Forms 3, 4 and 5 (including
amendments thereto and joint filing agreements in connection
therewith) in accordance with Section 16 of the Securities
Exchange Act of 1934, as amended (the "Exchange Act"), and the
rules thereunder, in the undersigned's capacity as an officer,
director or beneficial owner of more than 10% of a registered
class of securities of the Company;

      (2)	Do and perform any and all acts for and on behalf of
the undersigned that may be necessary or desirable to prepare
and execute any such Form ID and Forms 3, 4 or 5 (including
amendments thereto and joint filing agreements in connection
therewith) and file such forms with the SEC and any stock
exchange, self-regulatory association or any similar
authority; and

      (3)	Take any other action of any type whatsoever in
connection with the foregoing that, in the opinion of such
attorney -in-fact, may be of benefit to, in the best interest of,
or legally required of the undersigned, it being understood
that the documents executed by the attorney-in-fact on behalf
of the undersigned pursuant to this Power of Attorney shall be
in such form and shall contain such terms and conditions as
the attorney -in-fact may approve in the attorney-in-fact's
discretion.

      The undersigned hereby grants to each such attorney in fact
full power and author it y to do and perform any and every act
and thing whatsoever requisite, necessary, or proper to be done
in the exercise of any of the rights and powers herein granted,
as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution
or revocation, hereby ratifying and confirming all that such
attorney in fact, or such attorney in fact's substitute or
substitutes, shall lawfully do or cause to be done by virtue of
this power of attorney and the rights and powers herein granted.
The undersigned acknowledges that the foregoing attorneys-in-
fact, and their substitutes, in serving in such capacity at the
request of the undersigned, are not assuming (nor is the Company
assuming) any of the undersigned's responsibilities to comply
with Section 16 of the Exchange Act.

      This Power of Attorney shall remain in full force and
effect until the earliest to occur of (a) the undersigned is
no longer required to file Forms 3, 4 and 5 with respect to the
undersigned's holdings of and transactions in securities issued
by the Company , (b) revocation by the undersigned in a signed
writing delivered to the Company and the foregoing attorneys-
in fact or (c) as to any attorney-in-fact individually, until
such attorney-in-fact is no longer employed by the Company or
employed by or a partner at Cooley LLP or another law firm
representing the Company, as applicable.	'

      IN WITNESS WHEREOF, the undersigned has caused this Power
of Attorney to be executed as of June 7, 2021.

      By: /s/ Kathy Mayerhofer

      	Kathy Mayerhofer