Statement of Changes in Beneficial Ownership (4)
June 07 2022 - 06:57PM
Edgar (US Regulatory)
FORM 4
[ ] Check this box if no longer subject to Section
16. Form 4 or Form 5 obligations may continue. See
Instruction 1(b).
|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL
OWNERSHIP OF SECURITIES
|
OMB
APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response... 0.5 |
|
Filed pursuant to Section 16(a) of the
Securities Exchange Act of 1934 or Section 30(h) of the Investment
Company Act of 1940
|
|
1. Name
and Address of Reporting Person * Zayas
Orlando |
2. Issuer Name and Ticker or Trading
Symbol Katapult Holdings, Inc. [ KPLT ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)__X__
Director _____
10% Owner
__X__ Officer (give title
below) _____ Other
(specify below)
Chief Executive Officer |
(Last)
(First)
(Middle)
5204 TENNYSON PARKWAY ST. 500 |
3. Date of Earliest Transaction (MM/DD/YYYY)
6/3/2022
|
(Street)
PLANO, TX 75024-7141
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
6. Individual or Joint/Group Filing
(Check Applicable Line) _X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person |
Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned
|
1.Title of Security
(Instr. 3) |
2. Trans. Date |
2A. Deemed Execution Date, if any |
3. Trans. Code
(Instr. 8) |
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following
Reported Transaction(s)
(Instr. 3 and 4) |
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4) |
7. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
Amount |
(A) or (D) |
Price |
Common Stock |
6/3/2022 |
|
P |
|
80000 |
A |
$1.5673 (1) |
2913376 |
D |
|
Common Stock |
6/6/2022 |
|
P |
|
48472 |
A |
$1.5388 (2) |
2961848 |
D |
|
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
|
1. Title of Derivate Security
(Instr. 3) |
2. Conversion or Exercise Price of Derivative
Security |
3. Trans. Date |
3A. Deemed Execution Date, if any |
4. Trans. Code
(Instr. 8) |
5. Number of Derivative Securities Acquired (A) or
Disposed of (D)
(Instr. 3, 4 and 5) |
6. Date Exercisable and Expiration Date |
7. Title and Amount of Securities Underlying
Derivative Security
(Instr. 3 and 4) |
8. Price of Derivative Security
(Instr. 5) |
9. Number of derivative Securities Beneficially
Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct
(D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Explanation of
Responses: |
(1) |
The price reported in Column
4 is a weighted average price. The shares were purchased in
multiple transactions at prices ranging from $1.5632 to $1.57. The
reporting person undertakes to provide to Katapult Holdings, Inc.,
any security holder of Katapult Holdings, Inc., or the staff of the
Securities and Exchange Commission, upon request, full information
regarding the number of shares and prices at which the transaction
was effected. |
(2) |
The price reported in Column
4 is a weighted average price. The shares were purchased in
multiple transactions at prices ranging from $1.4796 to $1.566. The
reporting person undertakes to provide to Katapult Holdings, Inc.,
any security holder of Katapult Holdings, Inc., or the staff of the
Securities and Exchange Commission, upon request, full information
regarding the number of shares and prices at which the transaction
was effected. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
Zayas Orlando
5204 TENNYSON PARKWAY ST. 500
PLANO, TX 75024-7141 |
X |
|
Chief Executive Officer |
|
Signatures
|
/s/ By: Tahmineh Maloney, as Attorney-in-Fact for
Orlando Zayas |
|
6/7/2022 |
**Signature of
Reporting Person |
Date |
Reminder: Report on a separate line for each class
of securities beneficially owned directly or
indirectly. |
* |
If the form is filed by more than one
reporting person, see Instruction 4(b)(v). |
** |
Intentional misstatements or omissions
of facts constitute Federal Criminal Violations. See 18
U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Note: |
File three copies of this Form, one of
which must be manually signed. If space is insufficient, see
Instruction 6 for procedure. |
Persons who respond to the collection of information
contained in this form are not required to respond unless the form
displays a currently valid OMB control number. |
Katapult (NASDAQ:KPLT)
Historical Stock Chart
From Jul 2022 to Aug 2022
Katapult (NASDAQ:KPLT)
Historical Stock Chart
From Aug 2021 to Aug 2022