Derek Medlin - 15 Aug 2023 Form 4 Insider Report for Katapult Holdings, Inc. (KPLT)

Signature
/s/ Ryan Wigdor as Attorney-in-Fact for Derek Medlin
Issuer symbol
KPLT
Transactions as of
15 Aug 2023
Net transactions value
-$436,941
Form type
4
Filing time
19 Nov 2025, 21:11:54 UTC
Previous filing
21 Jun 2023
Next filing
17 Nov 2023

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
Medlin Derek Chief Operating Officer 5360 LEGACY DRIVE, BUILDING 2, PLANO /s/ Ryan Wigdor as Attorney-in-Fact for Derek Medlin 19 Nov 2025 0001866031

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction KPLT Common Stock Tax liability $303,698 -657 -1.2% $462.25 52,399 15 Aug 2023 Direct F1, F2, F3
transaction KPLT Common Stock Tax liability $21,216 -1,137 -1.7% $18.66 67,281 15 May 2024 Direct F4, F5
transaction KPLT Common Stock Tax liability $15,397 -1,138 -1.7% $13.53 66,143 15 Aug 2024 Direct F5
transaction KPLT Common Stock Tax liability $7,538 -1,137 -1.7% $6.63 65,006 15 Nov 2024 Direct F5
transaction KPLT Common Stock Tax liability $12,821 -1,299 -2% $9.87 63,707 15 Feb 2025 Direct F5
transaction KPLT Common Stock Tax liability $30,430 -2,653 -4.2% $11.47 61,054 15 Mar 2025 Direct F6, F7
transaction KPLT Common Stock Tax liability $12,668 -1,656 -2.7% $7.65 59,398 15 May 2025 Direct F8
transaction KPLT Common Stock Tax liability $23,281 -1,657 -2.8% $14.05 57,741 15 Aug 2025 Direct F8
transaction KPLT Common Stock Tax liability $9,891 -1,654 -2.9% $5.98 55,811 17 Nov 2025 Direct F8
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 On September 9, 2021, the reporting person was granted 110,213 restricted stock units ("RSUs") (which, following the Issuer's July 27, 2023 1-for-25 reverse stock split, resulted in 4,409 RSUs), 25% of which vested on March 15, 2022, with the remainder scheduled to vest thereafter in 12 quarterly installments on each of May 15, August 15, November 15 and February 15 subject to the reporting person's continued employment with the Issuer on each applicable vesting date (the "2021 Award"). The reporting person has reported prior grants of RSUs under the 2021 Award in Table II of Form 4.
F2 On March 15, 2022, the reporting person was granted 592,946 RSUs (which, following the Issuer's July 27, 2023 1-for-25 reverse stock split, resulted in 23,718 RSUs), 25% of which vested on March 15, 2023, with the remainder scheduled to vest thereafter in 12 quarterly installments on each of May 15, August 15, November 15 and February 15 subject to the reporting person's continued employment with the Issuer on each applicable vesting date (the "2022 Award").
F3 The shares reported in Column 4 are shares withheld for the payment of taxes associated with the 2021 Award and 2022 Award and were previously included in the shares reported under Transaction Code F in Table I of the Form 4 filed on November 17, 2023.
F4 On June 16, 2023, the reporting person was granted 385,000 RSUs (which, following the Issuer's July 27, 2023 1-for-25 reverse stock split, resulted in 15,400 RSUs), one-third of which vested on March 15, 2024, and the remainder scheduled to vest thereafter in eight quarterly installments on each of May 15, August 15, November 15 and February 15 subject to the reporting person's continued employment with the Issuer on each applicable vesting date (the "2023 Award").
F5 The shares reported in Column 4 are shares withheld for the payment of taxes associated with the 2021 Award, 2022 Award and 2023 Award.
F6 On May 6, 2024, the reporting person was granted 20,000 RSUs, one-third of which vested on March 15, 2025, and the remainder scheduled to vest thereafter in eight quarterly installments on each of May 15, August 15, November 15 and February 15 subject to the reporting person's continued employment with the Issuer on each applicable vesting date (the "2024 Award").
F7 The shares reported in Column 4 are shares withheld for the payment of taxes associated with the 2021 Award, 2022 Award and 2024 Award.
F8 The shares reported in Column 4 are shares withheld for the payment of taxes associated with the 2022 Award, 2023 Award and 2024 Award.