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