0001567619-22-017988.txt : 20220930
0001567619-22-017988.hdr.sgml : 20220930
20220930161438
ACCESSION NUMBER: 0001567619-22-017988
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210806
FILED AS OF DATE: 20220930
DATE AS OF CHANGE: 20220930
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: 221284198
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
2021-08-06
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 B Common Stock
2021-08-17
4
J
0
136404
0.0001
A
467712
D
Class B Common Stock
2022-03-16
4
J
0
1561544
0.0001
A
2029256
D
Class B Common Stock
7439858
I
LAG Fit, Inc.
Class A Common Stock
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.
LLC Units in Xponential Holdings LLC
Class A Common Stock
2029256
2029256
D
LLC Units in Xponential Holdings LLC
Class A Common Stock
26274
7439858
I
LAG Fit, Inc.
Upon the vesting of each LLC unit in Xponential Holdings LLC ("LLC Unit"), Xponential Fitness, Inc. (the "Company") issues to the holder a share of Class B Common Stock.
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.
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.
Any vested LLC Unit may be redeemed for, together with the cancellation of a share of Class B common stock, one share of Class A common stock or a cash payment equal to the volume weighted average market price of one share of Class A common stock for each LLC Unit redeemed.
All LLC Units are vested and redeemable into shares of Class A common stock.
The LLC Units do not expire.
/s/ John Meloun, as Attorney-in-Fact, for Anthony Geisler
2022-08-25