0001209191-21-045913.txt : 20210707 0001209191-21-045913.hdr.sgml : 20210707 20210707185827 ACCESSION NUMBER: 0001209191-21-045913 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: Rosati Fabio CENTRAL INDEX KEY: 0001869994 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40546 FILM NUMBER: 211078558 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 0001869994 Rosati Fabio 7529 STANDISH PLACE SUITE 200 DERWOOD MD 20855 1 0 0 0 Common Stock 2021-07-02 4 J 0 101667 D 0 D Class A Common Stock 2021-07-02 4 J 0 101667 A 101667 D Stock Option (right to buy) 1.65 2021-07-02 4 J 0 14524 0.00 D 2027-11-12 Common Stock 14524 0 D Stock Option (right to buy) 1.65 2021-07-02 4 J 0 14524 0.00 A 2027-11-12 Class A Common Stock 14524 14524 D Immediately prior to the closing of the Issuer's initial public offering, each share of Common Stock was reclassified into one share of Class A Common Stock in an exempt transaction pursuant to Rule 16b-7. Vests in 48 equal monthly installments, commencing on November 13, 2017, subject to the Reporting Person's continuous service. /s/ Dorothy Vinsky, Attorney-in-Fact 2021-07-07