0001567619-22-010595.txt : 20220513 0001567619-22-010595.hdr.sgml : 20220513 20220513194349 ACCESSION NUMBER: 0001567619-22-010595 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220511 FILED AS OF DATE: 20220513 DATE AS OF CHANGE: 20220513 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Morris Brenda I CENTRAL INDEX KEY: 0001323610 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40638 FILM NUMBER: 22924775 MAIL ADDRESS: STREET 1: 6300 MERRILL CREEK PARKWAY STREET 2: SUITE B CITY: EVERETT STATE: WA ZIP: 98203 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 2022-05-11 0 0001802156 Xponential Fitness, Inc. XPOF 0001323610 Morris Brenda I C/O XPONENTIAL FITNESS, INC. 17877 VON KARMAN AVE., SUITE 100 IRVINE CA 92614 1 0 0 0 Class A Common Stock 2022-05-11 4 A 0 4350 0 A 23093 D Class B Common Stock 811 D Class A Common Stock 3500 I By Trust LLC Units in Xponential Holdings LLC Class A Common Stock 811 811 D Represents the Issuer's Class A common stock subject to restricted stock units (RSUs) award granted to the Reporting Person for services on the Issuer's board of directors. All shares subject to the RSUs will vest, subject to continued service, on the first anniversary date of the Issuer's 2022 Annual Meeting of Stockholders. Shares are held directly by the Morris Charitable Remainder Trust of which Brenda Morris is a co-trustee. Each LLC unit in Xponential Holdings LLC ("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. The LLC Units do not expire. The LLC Units are fully vested. /s/ John Meloun, as Attorney-in-Fact, for Brenda Morris 2022-05-13