0001628280-23-039549.txt : 20231117
0001628280-23-039549.hdr.sgml : 20231117
20231117190441
ACCESSION NUMBER: 0001628280-23-039549
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231115
FILED AS OF DATE: 20231117
DATE AS OF CHANGE: 20231117
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Medlin Derek
CENTRAL INDEX KEY: 0001866031
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39116
FILM NUMBER: 231420434
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
wk-form4_1700265869.xml
FORM 4
X0508
4
2023-11-15
0
0001785424
Katapult Holdings, Inc.
KPLT
0001866031
Medlin Derek
5204 TENNYSON PARKWAY ST. 500
PLANO
TX
75024-7141
0
1
0
0
Chief Operating Officer
0
Common Stock
2023-11-15
4
M
0
552
0
A
50746
D
Common Stock
2023-11-15
4
F
0
1313
11
D
49433
D
Restricted Stock Units
2023-11-17
4
M
0
0
0
D
Common Stock
552
1653
D
Restricted stock units ("RSUs") convert into shares of the Issuer's Common Stock on a one-for-one basis. The transaction represents the settlement of vested RSUs in shares of the Issuer's Common Stock.
Shares reported were withheld for the payment of taxes associated with the quarterly vesting of 6.25% of awards of RSUs originally granted on September 9, 2021 and March 15, 2022.
On September 9, 2021, the Reporting Person was granted RSUs, of which the remaining unvested RSUs will vest in eleven substantially equal quarterly installments, subject to the Reporting Person's continued employment with the Issuer on each applicable vesting date.
/s/ By: Christopher Towers, as Attorney-in-Fact for Derek Medlin
2023-11-17