0001628280-24-005965.txt : 20240221 0001628280-24-005965.hdr.sgml : 20240221 20240221171448 ACCESSION NUMBER: 0001628280-24-005965 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240215 FILED AS OF DATE: 20240221 DATE AS OF CHANGE: 20240221 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Medlin Derek CENTRAL INDEX KEY: 0001866031 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39116 FILM NUMBER: 24660969 MAIL ADDRESS: STREET 1: 5204 TENNYSON PKWY STREET 2: SUITE 500 CITY: PLANO STATE: TX ZIP: 75024 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Katapult Holdings, Inc. CENTRAL INDEX KEY: 0001785424 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-EQUIPMENT RENTAL & LEASING, NEC [7359] ORGANIZATION NAME: 07 Trade & Services IRS NUMBER: 842704291 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1345 AVENUE OF THE AMERICAS 11TH FL CITY: NEW YORK STATE: NY ZIP: 10105 BUSINESS PHONE: 2123701300 MAIL ADDRESS: STREET 1: 1345 AVENUE OF THE AMERICAS 11TH FL CITY: NEW YORK STATE: NY ZIP: 10105 FORMER COMPANY: FORMER CONFORMED NAME: FinServ Acquisition Corp. DATE OF NAME CHANGE: 20190814 4 1 wk-form4_1708553666.xml FORM 4 X0508 4 2024-02-15 0 0001785424 Katapult Holdings, Inc. KPLT 0001866031 Medlin Derek 5360 LEGACY DRIVE BUILDING 2 PLANO TX 75024-7141 0 1 0 0 Chief Operating Officer 0 Common Stock 2024-02-15 4 M 0 276 0 A 49709 D Common Stock 2024-02-15 4 F 0 750 14.66 D 48959 D Restricted Stock Units 2024-02-15 4 M 0 276 0 D Common Stock 276 1377 D Restricted stock units ("RSUs") convert into shares of the Issuer's Common Stock on a one-for-one basis. The transaction represents the settlement of vested RSUs in shares of the Issuer's Common Stock. Shares reported were withheld for the payment of taxes associated with the quarterly vesting of 6.25% of an award of RSUs originally granted on September 9, 2021 and March 15, 2022. On September 9, 2021, the Reporting Person was granted RSUs, of which the remaining unvested RSUs will vest in eleven substantially equal quarterly installments, subject to the Reporting Person's continued employment with the Issuer on each applicable vesting date. /s/ By: Christopher Towers, as Attorney-in-Fact for Derek Medlin 2024-02-21