Statement of Changes in Beneficial Ownership (4)
December 16 2021 - 4:53PM
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
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Mayerhofer Kathy |
2. Issuer Name and Ticker or Trading Symbol
Xometry, Inc.
[
XMTR
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) Chief Sales Officer |
(Last)
(First)
(Middle)
7529 STANDISH PLACE, SUITE 200 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
12/14/2021 |
(Street)
DERWOOD, MD 20855
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Class A Common Stock | 12/14/2021 | | M | | 1042.00 | A | $1.26 | 77291.00 | D | |
Class A Common Stock | 12/14/2021 | | M | | 3542.00 | A | $3.65 | 80833.00 | D | |
Class A Common Stock | 12/14/2021 | | M | | 9375.00 | A | $1.68 | 90208.00 | D | |
Class A Common Stock | 12/14/2021 | | M | | 1041.00 | A | $1.65 | 91249.00 | D | |
Class A Common Stock | 12/14/2021 | | S | | 9375.00 | D | $42.5179 (1) | 81874.00 | D | |
Class A Common Stock | 12/14/2021 | | S | | 1041.00 | D | $42.5179 (1) | 80833.00 | D | |
Class A Common Stock | 12/14/2021 | | S | | 1042.00 | D | $42.5179 (1) | 79791.00 | D | |
Class A Common Stock | 12/14/2021 | | S | | 3542.00 | D | $42.5179 (1) | 76249.00 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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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 |
Stock Option (Right to Buy) | $1.26 | 12/14/2021 | | M | | | 1042.00 | (2) | 3/22/2027 | Class A Common Stock | 1042.00 | $0.00 | 0.00 | D | |
Stock Option (Right to Buy) | $1.65 | 12/14/2021 | | M | | | 1041.00 | (3) | 1/29/2028 | Class A Common Stock | 1041.00 | $0.00 | 105.00 | D | |
Stock Option (Right to Buy) | $1.68 | 12/14/2021 | | M | | | 9375.00 | (4) | 2/19/2029 | Class A Common Stock | 9375.00 | $0.00 | 12188.00 | D | |
Stock Option (Right to Buy) | $3.65 | 12/14/2021 | | M | | | 3542.00 | (5) | 4/27/2030 | Class A Common Stock | 3542.00 | $0.00 | 16458.00 | D | |
Explanation of Responses: |
(1) | The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $42.38 to $42.98, inclusive. The reporting person undertakes to provide to Xometry, Inc., any security holder of Xometry, Inc. or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within this price range. |
(2) | Fully vested. |
(3) | One quarter (1/4) of the shares vested on January 1, 2019, and thereafter, the remainder of the shares vest in 36 monthly installments, subject to the Reporting Person's continuous service. |
(4) | One quarter (1/4) of the shares vested on January 1, 2020, and thereafter, the remainder of the shares vest in 36 monthly installments, subject to the Reporting Person's continuous service. |
(5) | One quarter (1/4) of the shares vested on January 1, 2021, and thereafter, the remainder of the shares vest in 36 monthly installments, subject to the Reporting Person's continuous service. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Mayerhofer Kathy 7529 STANDISH PLACE SUITE 200 DERWOOD, MD 20855 |
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| Chief Sales Officer |
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Signatures
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/s/ Kristie Scott, Attorney-in-Fact | | 12/16/2021 |
**Signature of Reporting Person | Date |
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