0001567619-22-006391.txt : 20220304 0001567619-22-006391.hdr.sgml : 20220304 20220304170259 ACCESSION NUMBER: 0001567619-22-006391 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220302 FILED AS OF DATE: 20220304 DATE AS OF CHANGE: 20220304 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Geisler Anthony CENTRAL INDEX KEY: 0001870549 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40638 FILM NUMBER: 22715070 MAIL ADDRESS: STREET 1: C/O XPONENTIAL FITNESS, INC. STREET 2: 17877 VON KARMAN AVE, SUITE 100 CITY: IRVINE STATE: CA ZIP: 92614 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Xponential Fitness, Inc. CENTRAL INDEX KEY: 0001802156 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS AMUSEMENT & RECREATION [7990] IRS NUMBER: 844395129 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 17877 VON KARMAN AVE STREET 2: SUITE 100 CITY: IRVINE STATE: CA ZIP: 92614 BUSINESS PHONE: 6507522078 MAIL ADDRESS: STREET 1: 17877 VON KARMAN AVE STREET 2: SUITE 100 CITY: IRVINE STATE: CA ZIP: 92614 4 1 doc1.xml FORM 4 X0306 4 2022-03-02 0 0001802156 Xponential Fitness, Inc. XPOF 0001870549 Geisler Anthony C/O XPONENTIAL FITNESS, INC. 17877 VON KARMAN AVE., SUITE 100 IRVINE CA 92614 1 1 1 0 Chief Executive Officer Class A Common Stock 2022-03-02 4 A 0 322124 0 A 390151 D Class A Common Stock 18501 I The Anthony Geisler Trust U/A Dated 05/17/2011 Class A Common Stock 83300 I LAG Fit, Inc. Class B Common Stock 7439858 I LAG Fit, Inc. Class B Common Stock 331308 D Represents the Issuer's Class A common stock subject to restricted stock units (RSUs) award granted to the Reporting Person pursuant to the Issuer's equity incentive plan. The RSUs shall vest with respect to 25% of shares subject to such RSUs on each of the four anniversaries of March 2, 2022, in each case subject to the Reporting Person's continued employment through such vesting date. Shares are owned directly by the Anthony Geisler Trust U/A Dated 05/17/2011 and indirectly by Anthony Geisler as trustee of the trust. LAG Fit, Inc. is wholly owned by Mr. Geisler. Mr. Geisler has reported sole investment and dispositive power over the shares held by LAG Fit, Inc. /s/ John Meloun, as Attorney-in-Fact, for Anthony Geisler 2022-03-03