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