Randolph Altschuler - 29 Jun 2021 Form 3 Insider Report for Xometry, Inc. (XMTR)

Role
Chief Executive Officer, Director
Signature
/s/ Dorothy Vinsky, Attorney-in-Fact
Issuer symbol
XMTR
Transactions as of
29 Jun 2021
Net transactions value
$0
Form type
3
Filing time
01 Jul 2021, 16:13:08 UTC
Next filing
07 Jul 2021
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
holding XMTR Common Stock 1,068,003 29 Jun 2021 Direct
holding XMTR Common Stock 105,000 29 Jun 2021 See Footnote F1
holding XMTR Common Stock 347,222 29 Jun 2021 See Footnote F2
holding XMTR Common Stock 347,222 29 Jun 2021 See Footnote F3
holding XMTR Common Stock 347,222 29 Jun 2021 See Footnote F4
holding XMTR Common Stock 500,000 29 Jun 2021 See Footnote F5
holding XMTR Common Stock 386,667 29 Jun 2021 See Footnote F6

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 XMTR Stock Option (right to buy) 29 Jun 2021 Common Stock 99,869 $1.65 Direct F7
holding XMTR Stock Option (right to buy) 29 Jun 2021 Common Stock 231,974 $3.65 Direct F8
holding XMTR Stock Option (right to buy) 29 Jun 2021 Common Stock 142,275 $12.32 Direct F9
holding XMTR Series Seed-1 Preferred Stock 29 Jun 2021 Common Stock 325,000 See Footnote F6, F10
holding XMTR Series Seed-1 Preferred Stock 29 Jun 2021 Common Stock 325,000 Direct F10
holding XMTR Series Seed-2 Preferred Stock 29 Jun 2021 Common Stock 51,095 Direct F10
holding XMTR Series A-1 Preferred Stock 29 Jun 2021 Common Stock 31,213 Direct F10
holding XMTR Series A-1 Preferred Stock 29 Jun 2021 Common Stock 19,476 See Footnote F6, F10
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Held by the 2021 Tigers Trust, over which the Reporting Person may be deemed to exercise voting control.
F2 Held by the Matthew Sladkin Altschuler 2012 Trust, over which the Reporting Person may be deemed to exercise voting control.
F3 Held by the Noah Sladkin Altschuler 2012 Trust, over which the Reporting Person may be deemed to exercise voting control.
F4 Held by the Sasha Sladkin Altschuler 2012 Trust, over which the Reporting Person may be deemed to exercise voting control.
F5 Held by the Altschuler Family Trust (2020), over which the Reporting Person may be deemed to exercise voting control.
F6 Held by Cheryl Altschuler, Reporting Person's spouse.
F7 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.
F8 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.
F9 One quarter (1/4) of the shares shall vest on January 1, 2022, and thereafter, the remainder of the shares shall vest in 36 equal monthly installments, subject to the Reporting Person's continuous service.
F10 Each share of Series Seed-1 Preferred Stock, Series Seed-2 Preferred Stock, and Series A-1 Preferred Stock is convertible at any time at the option of the holder, without payment of additional consideration, into Common Stock, on a one-for-one basis, has no expiration date and is expected to automatically convert into shares of Class A Common Stock immediately prior to the closing of the Issuer's initial public offering.

Remarks:

Exhibit List -- Exhibit 24 -- Power of Attorney