0001213900-21-032426.txt : 20210615
0001213900-21-032426.hdr.sgml : 20210615
20210615062016
ACCESSION NUMBER: 0001213900-21-032426
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210609
FILED AS OF DATE: 20210615
DATE AS OF CHANGE: 20210615
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hirsch Brian
CENTRAL INDEX KEY: 0001851605
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39116
FILM NUMBER: 211016823
MAIL ADDRESS:
STREET 1: C/O ACV AUCTIONS INC.
STREET 2: 640 ELLICOTT STREET, #321
CITY: BUFFALO
STATE: NY
ZIP: 14203
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
0001851605
Hirsch Brian
C/O KATAPULT HOLDINGS, INC.
5204 TENNYSON PARKWAY, SUITE 500
PLANO
TX
75024
1
0
0
0
Common Stock
2021-06-09
4
J
0
4608069
0
A
4608069
I
See footnote
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 Tribeca Venture Fund I (NY), L.P., Tribeca Venture Fund I, L.P. and Tribeca Annex Fund.
Includes earn out shares granted in connection with Katapult Holdings, Inc.'s ("Issuer") the Issuer's initial business combination, subject to certain vesting provisions.
Shares held by Tribeca Venture Fund I (NY), L.P., Tribeca Venture Fund I, L.P. and Tribeca Annex Fund, of which Mr. Hirsch is the Managing Partner. Mr. Hirsch disclaims any beneficial ownership of the reported shares other than to the extent of any pecuniary interest they may have therein, directly or indirectly.
/s/ Brian Hirsch
2021-06-14