Form 4 for XMTR Xometry, Inc.
Accepted 2021-07-08 00:00:00 ET · period of report 2021-07-02 · accession 0001209191-21-045964 · SEC index · Original document
Summary rows
Aggregated the way they appear in lists: one row per insider, transaction code and security table.
| X | Filed | Traded | Ticker | Insider | Title | Type | Price | Qty | Owned | ΔOwn | Value |
|---|---|---|---|---|---|---|---|---|---|---|---|
| DI | 2021-07-08 | 2021-07-02 | XMTR | Zuriff Laurence | Chief Strategy Off, Dir | C - Cnv Deriv | — | +201.2K | 201.2K | New | — |
| DMI | 2021-07-08 | 2021-07-02 | XMTR | Zuriff Laurence | Chief Strategy Off, Dir | J - Other | — | 0 | 0 | New | — |
| DM | 2021-07-08 | 2021-07-02 | XMTR | Zuriff Laurence | Chief Strategy Off, Dir | J - Other | — | -1.20M | 2.15M | -36% | — |
| DM | 2021-07-08 | 2021-07-02 | XMTR | Zuriff Laurence | Chief Strategy Off, Dir | J - Other | $0.00 | +1.20M | 129.4K | New | $0 |
| DMI | 2021-07-08 | 2021-07-02 | XMTR | Zuriff Laurence | Chief Strategy Off, Dir | C - Cnv Deriv | $0.00 | -201.2K | 0 | -100% | $0 |
Purchase Sale Sale after option exercise All abbreviations
Every reported transaction
| # | Table | Security | Date | Code | A/D | Shares | Price | Owned after | Own | Exercise / expiry | Underlying | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Common | Class A Common Stock | 2021-07-02 | C | A | 201,176 | — | 201,176 | I | — | — | (F3) Each share of Series Seed-1 Preferred Stock, Series Seed-2 Preferred Stock, and Series A-1 Preferred Stock automatically converted, without payment of additional consideration, into Class A Common Stock on a 1:1 basis immediately prior to the closing of the Issuer's initial public offering and had no expiration date. |
| 2 | Common | Class A Common Stock | 2021-07-02 | J | A | 300,000 | — | 300,000 | I | — | — | (F1) Immediately prior to the closing of the Issuer's initial public offering, each share of Common Stock was reclassified into one share of Class A Common Stock in an exempt transaction pursuant to Rule 16b-7. |
| 3 | Common | Common Stock | 2021-07-02 | J | D | 300,000 | — | 0 | I | — | — | (F1) Immediately prior to the closing of the Issuer's initial public offering, each share of Common Stock was reclassified into one share of Class A Common Stock in an exempt transaction pursuant to Rule 16b-7. |
| 4 | Common | Class A Common Stock | 2021-07-02 | J | A | 300,000 | — | 300,000 | I Held by ZFI Capital,LP. | — | — | (F1) Immediately prior to the closing of the Issuer's initial public offering, each share of Common Stock was reclassified into one share of Class A Common Stock in an exempt transaction pursuant to Rule 16b-7. |
| 5 | Common | Common Stock | 2021-07-02 | J | D | 300,000 | — | 0 | I Held by the Zuriff Family 2020 Trust | — | — | (F1) Immediately prior to the closing of the Issuer's initial public offering, each share of Common Stock was reclassified into one share of Class A Common Stock in an exempt transaction pursuant to Rule 16b-7. |
| 6 | Common | Class A Common Stock | 2021-07-02 | J | A | 300,000 | — | 300,000 | I Held by the Zuriff Family 2020 Trust | — | — | (F1) Immediately prior to the closing of the Issuer's initial public offering, each share of Common Stock was reclassified into one share of Class A Common Stock in an exempt transaction pursuant to Rule 16b-7. |
| 7 | Common | Common Stock | 2021-07-02 | J | D | 300,000 | — | 0 | I Held by the Sophie Anna Zuriff 2020 Trust | — | — | (F1) Immediately prior to the closing of the Issuer's initial public offering, each share of Common Stock was reclassified into one share of Class A Common Stock in an exempt transaction pursuant to Rule 16b-7. |
| 8 | Common | Class A Common Stock | 2021-07-02 | J | D | 1,200,843 | — | 947,073 | D Held by the Sophie Anna Zuriff 2020 Trust | — | — | (F2) Immediately prior to the completion of the Issuer's initial public offering of Class A Common stock, the shares of the Issuer's Class A Common Stock held by the Reporting Person were exchanged at a 1:1 ratio for shares of the Issuer's Class B Common Stock pursuant to an exchange agreement between the Issuer and Reporting Person, as previously approved by the Issuer's board of directors. |
| 9 | Common | Common Stock | 2021-07-02 | J | D | 2,147,916 | — | 0 | D Held by the Jason Eric Zuriff Trust | — | — | (F1) Immediately prior to the closing of the Issuer's initial public offering, each share of Common Stock was reclassified into one share of Class A Common Stock in an exempt transaction pursuant to Rule 16b-7. |
| 10 | Common | Class A Common Stock | 2021-07-02 | J | A | 2,147,916 | — | 2,147,916 | D Held by the Jason Eric Zuriff Trust | — | — | (F1) Immediately prior to the closing of the Issuer's initial public offering, each share of Common Stock was reclassified into one share of Class A Common Stock in an exempt transaction pursuant to Rule 16b-7. |
| 11 | Derivative | Stock Option (right to buy) | 2021-07-02 | J | D | 14,584 | $0.00 | 0 | D Held by ZFI Capital,LP. | $1.65 · — to 2028-01-29 | 14,584 Common Stock | (F4) One quarter (1/4) of the shares vested on January 1, 2019, and thereafter, the remainder of the shares vest in 36 equal monthly installments, subject to the Reporting Person's continuous service. |
| 12 | Derivative | Stock Option (right to buy) | 2021-07-02 | J | A | 14,584 | $0.00 | 14,584 | D Held by ZFI Capital,LP. | $1.65 · — to 2028-01-29 | 14,584 Class A Common Stock | (F4) One quarter (1/4) of the shares vested on January 1, 2019, and thereafter, the remainder of the shares vest in 36 equal monthly installments, subject to the Reporting Person's continuous service. |
| 13 | Derivative | Stock Option (right to buy) | 2021-07-02 | J | D | 129,360 | $0.00 | 0 | D Held by ZFI Capital,LP. | $3.65 · — to 2029-08-07 | 129,360 Common Stock | (F5) One quarter (1/4) of the shares vested on May 2, 2020, and thereafter, the remainder of the shares vest in 36 equal monthly installments, subject to the Reporting Person's continuous service. |
| 14 | Derivative | Class B Common Stock | 2021-07-02 | J | A | 1,200,843 | $0.00 | 1,200,843 | D | — · — to — | 1,200,843 Class A Common Stock | (F6) Each share of Class B Common Stock is convertible at any time at the option of the Reporting Person into one share of Class A Common Stock. Each share of Class B Common Stock will convert automatically into shares of Class A common stock, on a one-to-one basis, upon the following: (1) sale or transfer of such share of Class B common stock; (2) the death or incapacity of the Reporting Person; (3) the Reporting Person's departure from the Issuer's board of directors; and (4) on the final conversion date, defined as the earlier of (a) the seventh anniversary of the Issuer's IPO; or (b) the date specified by vote of the holders of a majority of the outstanding shares of Class B common stock. |
| 15 | Derivative | Series Seed-1 Preferred Stock | 2021-07-02 | C | D | 128,102 | $0.00 | 0 | I | — · — to — | 128,102 Class A Common Stock | (F3) Each share of Series Seed-1 Preferred Stock, Series Seed-2 Preferred Stock, and Series A-1 Preferred Stock automatically converted, without payment of additional consideration, into Class A Common Stock on a 1:1 basis immediately prior to the closing of the Issuer's initial public offering and had no expiration date. |
| 16 | Derivative | Series Seed-2 Preferred Stock | 2021-07-02 | C | D | 43,796 | $0.00 | 0 | I | — · — to — | 43,796 Class A Common Stock | (F3) Each share of Series Seed-1 Preferred Stock, Series Seed-2 Preferred Stock, and Series A-1 Preferred Stock automatically converted, without payment of additional consideration, into Class A Common Stock on a 1:1 basis immediately prior to the closing of the Issuer's initial public offering and had no expiration date. |
| 17 | Derivative | Series A-1 Preferred Stock | 2021-07-02 | C | D | 29,278 | $0.00 | 0 | I | — · — to — | 29,278 Class A Common Stock | (F3) Each share of Series Seed-1 Preferred Stock, Series Seed-2 Preferred Stock, and Series A-1 Preferred Stock automatically converted, without payment of additional consideration, into Class A Common Stock on a 1:1 basis immediately prior to the closing of the Issuer's initial public offering and had no expiration date. |
| 18 | Derivative | Stock Option (right to buy) | 2021-07-02 | J | A | 129,360 | $0.00 | 129,360 | D | $3.65 · — to 2029-08-07 | 129,360 Class A Common Stock | (F5) One quarter (1/4) of the shares vested on May 2, 2020, and thereafter, the remainder of the shares vest in 36 equal monthly installments, subject to the Reporting Person's continuous service. |