0000929638-23-001772.txt : 20230620 0000929638-23-001772.hdr.sgml : 20230620 20230620215039 ACCESSION NUMBER: 0000929638-23-001772 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230615 FILED AS OF DATE: 20230620 DATE AS OF CHANGE: 20230620 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: 231027307 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 form4.xml X0407 4 2023-06-15 0001802156 Xponential Fitness, Inc. XPOF 0001870549 Geisler Anthony C/O XPONENTIAL FITNESS, INC. 17877 VON KARMAN AVE, SUITE 100 IRVINE CA 92614 true true true Chief Executive Officer true Class B Common Stock 2023-06-15 4 G 0 4404 0 D 1976 I The Anthony Geisler Trust U/A Dated 05/17/2011 Class A Common Stock 334368 D Class A Common Stock 371643 I The Anthony Geisler Trust U/A Dated 05/17/2011 Class B Common Stock 7439858 I LAG Fit, Inc. Class A Common Stock 83330 I LAG Fit, Inc. LLC Units in Xponential Holdings LLC 2023-06-15 4 G 0 4404 D Class A Common Stock 4404 1976 I The Anthony Geisler Trust U/A Dated 05/17/2011 LLC Units in Xponential Holdings LLC Class A Common Stock 7439858 7439858 I LAG Fit, Inc. Reflects transfer of shares without consideration pursuant to a 10b5-1 gift plan adopted by the reporting person on December 13, 2022. Shares are owned directly by the Anthony Geisler Trust U/A Dated 05/17/2011 and indirectly by Mr. Geisler as trustee of the trust. 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. 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 2023-06-20