0001213900-21-032414.txt : 20210614
0001213900-21-032414.hdr.sgml : 20210614
20210614215011
ACCESSION NUMBER: 0001213900-21-032414
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210609
FILED AS OF DATE: 20210614
DATE AS OF CHANGE: 20210614
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Chopra Chandan
CENTRAL INDEX KEY: 0001866013
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39116
FILM NUMBER: 211016685
MAIL ADDRESS:
STREET 1: 5204 TENNYSON PKWY
STREET 2: SUITE 500
CITY: PLANO
STATE: TX
ZIP: 75024
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Katapult Holdings, Inc.
CENTRAL INDEX KEY: 0001785424
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-EQUIPMENT RENTAL & LEASING, NEC [7359]
IRS NUMBER: 842704291
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1345 AVENUE OF THE AMERICAS 11TH FL
CITY: NEW YORK
STATE: NY
ZIP: 10105
BUSINESS PHONE: 2123701300
MAIL ADDRESS:
STREET 1: 1345 AVENUE OF THE AMERICAS 11TH FL
CITY: NEW YORK
STATE: NY
ZIP: 10105
FORMER COMPANY:
FORMER CONFORMED NAME: FinServ Acquisition Corp.
DATE OF NAME CHANGE: 20190814
4
1
ownership.xml
X0306
4
2021-06-09
0
0001785424
Katapult Holdings, Inc.
KPLT
0001866013
Chopra Chandan
C/O KATAPULT HOLDINGS, INC.
5204 TENNYSON PARKWAY, SUITE 500
PLANO
TX
75024
0
1
0
0
CHIEF TECHNOLOGY OFFICER
Common Stock
2021-06-09
4
J
0
97479
0
A
97479
D
Stock Options (right to buy)
0.19
2021-06-09
4
A
0
148596
0
A
2021-06-09
2029-09-04
Common Stock
148596
148596
D
Stock Options (right to buy)
0.85
2021-06-09
4
A
0
177060
0
A
2021-06-09
2028-07-03
Common Stock
177060
177060
D
Stock Options (right to buy)
0.19
2021-06-09
4
A
0
656053
0
A
2021-06-09
2029-09-04
Common Stock
656053
656053
D
Shares were acquired pursuant to Katapult Holdings, Inc.'s (the "Issuer") initial business combination in exchange for shares of the legacy Katapult Holdings, Inc. entity that were owned by the reporting person prior to the Closing.
Includes earn out shares granted in connection with the Issuer's initial business combination, subject to certain vesting provisions.
/s/ Chandan Chopra
2021-06-14