0001628280-24-011964.txt : 20240319 0001628280-24-011964.hdr.sgml : 20240319 20240319175914 ACCESSION NUMBER: 0001628280-24-011964 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240315 FILED AS OF DATE: 20240319 DATE AS OF CHANGE: 20240319 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: 24765336 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_1710885544.xml FORM 4 X0508 4 2024-03-15 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 2024-03-15 4 F 0 1918 14.13 D 47041 D Shares reported were withheld for the payment of taxes associated with the vesting of one-third of an award of RSUs originally granted on June 16, 2023. /s/ By: Christopher Towers, as Attorney-in-Fact for Derek Medlin 2024-03-19