0001209191-21-045912.txt : 20210707 0001209191-21-045912.hdr.sgml : 20210707 20210707185659 ACCESSION NUMBER: 0001209191-21-045912 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210702 FILED AS OF DATE: 20210707 DATE AS OF CHANGE: 20210707 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Driscoll Craig CENTRAL INDEX KEY: 0001869943 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40546 FILM NUMBER: 211078556 MAIL ADDRESS: STREET 1: 7529 STANDISH PLACE STREET 2: SUITE 200 CITY: DERWOOD STATE: MD 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-07-02 0 0001657573 Xometry, Inc. XMTR 0001869943 Driscoll Craig 7529 STANDISH PLACE SUITE 200 DERWOOD MD 20855 1 0 0 0 Class A Common Stock 2021-07-02 4 C 0 481428 0.00 A 481428 I See Footnote Series Seed-1 Preferred Stock 2021-07-02 4 C 0 129859 0.00 D Class A Common Stock 129859 0 I See Footnote Series Seed-2 Preferred Stock 2021-07-02 4 C 0 57132 0.00 D Class A Common Stock 57132 0 I See Footnote Series A-2 Preferred Stock 2021-07-02 4 C 0 73997 0.00 D Class A Common Stock 73997 0 I See Footnote Series B Preferred Stock 2021-07-02 4 C 0 25400 0.00 D Class A Common Stock 25400 0 I See Footnote Series C Preferred Stock 2021-07-02 4 C 0 26397 0.00 D Class A Common Stock 26397 0 I See Footnote Series D Preferred Stock 2021-07-02 4 C 0 20486 0.00 D Class A Common Stock 20486 0 I See Footnote Series E Preferred Stock 2021-07-02 4 C 0 148157 0.00 D Class A Common Stock 148157 0 I See Footnote Each share of Series Seed-1 Preferred Stock, Series Seed-2 Preferred Stock, Series A-2 Preferred Stock, Series B Preferred Stock, Series C Preferred Stock, Series D Preferred Stock, and Series E Preferred Stock automatically converted, without payment of additional consideration, into Class A Common Stock on a 1:1 basis immediately prior to the closing of the Issuer's initial public offering and had no expiration date. These shares are held of record by Highland Leaders Fund I, L.P. ("HLF I"). The general partner of HLF I is Highland Leaders Fund I GP, L.P., whose general partner is Highland Leaders Fund I GP, LLC ("HLF I GP LLC"). The Reporting Person is a Managing Member of HLF I GP LLC and may be deemed to have voting and dispositive power over the shares held by HLF I. The Reporting Person disclaims beneficial ownership of the securities reported herein, except to the extent of the Reporting Person's pecuniary interest therein. The filing of this statement shall not be deemed to be an admission that, for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, the Reporting Person is the beneficial owner of any securities reported herein. /s/ Dorothy Vinsky, Attorney-in-Fact 2021-07-07