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