HHCF Series 21 Sub, LLC - Nov 3, 2025 Form 3 Insider Report for Katapult Holdings, Inc. (KPLT)

Role
10%+ Owner
Signature
/s/ Lane Risser, Manager of HHCF Series 21 Sub, LLC
Stock symbol
KPLT
Transactions as of
Nov 3, 2025
Transactions value $
$0
Form type
3
Date filed
11/10/2025, 05:08 PM

Reporting Owners (4)

Name Relationship Address Signature Signature date CIK
HHCF Series 21 Sub, LLC 10%+ Owner 88 WEST MOUND STREET, COLUMBUS /s/ Lane Risser, Manager of HHCF Series 21 Sub, LLC 2025-11-10 0002095529
HHCF Series 21 Sub Holdco, LLC 10%+ Owner 88 WEST MOUND STREET, COLUMBUS /s/ Lane Risser, Manager of HHCF Series 21 Sub Holdco, LLC 2025-11-10 0002095528
Hawthorn Horizon Credit Fund LLC, Series 21 10%+ Owner 88 WEST MOUND STREET, COLUMBUS /s/ Lane Risser, Manager of Hawthorn Horizon Credit Fund LLC, Series 21 2025-11-10 0002095523
Risser Lane 10%+ Owner 88 WEST MOUND STREET, COLUMBUS /s/ Lane Risser 2025-11-10 0002095688

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
holding KPLT Series A Convertible Preferred Stock Nov 3, 2025 Common Stock 2.84M Direct F1, F2, F3
holding KPLT Series B Convertible Preferred Stock Nov 3, 2025 Common Stock 2.63M Direct F3, F4, F5
holding KPLT Warrants (right to buy) Nov 3, 2025 Common Stock 486K $0.01 Direct F3
holding KPLT Warrants (right to buy) Nov 3, 2025 Common Stock 160K $0.25 Direct F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Each share of Series A Convertible Preferred Stock, par value 0.0001 per share (the "Series A Convertible Preferred Stock"), of Katapult Holdings, Inc., a Delaware corporation (the "Issuer"), is convertible into 81.16883 shares of Common Stock, par value $0.0001 per share (the "Common Stock"), of the Issuer, based on an implied initial conversion price of $12.32 per share of Common Stock.
F2 Until the stockholders of the Issuer approve the conversion of the Series A Convertible Preferred Stock into shares of Common Stock as contemplated by the Nasdaq listing rules, no holder of Series A Convertible Preferred Stock may convert shares of Series A Convertible Preferred Stock through either an optional or a mandatory conversion into shares of Common Stock, if and to the extent that such conversion would result in the holder beneficially owning in excess of 19.99% of the aggregate number of votes entitled to be cast generally at a meeting of the Issuer's stockholders held for the election of directors by all outstanding shares of Common Stock as of immediately prior to the closing of the issuance and sale of Series A Convertible Preferred Stock by the Issuer to HHCF Series 21 Sub, LLC, a Delaware limited liability company ("HHCF Sub").
F3 HHCF Sub is a wholly-owned subsidiary of HHCF Series 21 Sub Holdco, LLC, a Delaware limited liability company ("Holdco"), and Holdco is a wholly-owned subsidiary of Hawthorn Horizon Credit Fund LLC, Series 21. Lane Risser ("Mr. Risser") is the sole manager of Hawthorn. Each of Holdco, Hawthorn and Mr. Risser disclaims Section 16 beneficial ownership of the securities reported herein, except to the extent, if any, of its or his pecuniary interest in such securities, and nothing contained herein shall be deemed an omission that any of Holdco, Hawthorn or Mr. Risser is the beneficial owner of such securities for Section 16 or any other purpose.
F4 Each share of Series B Preferred Stock, par value 0.0001 per share (the "Series B Convertible Preferred Stock"), of the Issuer is convertible into 87.79631 shares of Common Stock, based on an implied initial conversion price of $11.39 per share of Common Stock.
F5 Until the stockholders of the Issuer approve the conversion of the Series B Convertible Preferred Stock into shares of Common Stock as contemplated by the Nasdaq listing rules, no holder of Preferred Stock may convert shares of Series B Convertible Preferred Stock through either an optional or a mandatory conversion into shares of Common Stock, if and to the extent that such conversion would result in the holder beneficially owning in excess of 19.99% of the aggregate number of votes entitled to be cast generally at a meeting of the Issuer's stockholders held for the election of directors by all outstanding shares of Common Stock as of immediately prior to the closing of the issuance and sale of Series B Convertible Preferred Stock by the Issuer to HHCF Sub.