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

Role: 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: 09 Jul 2021, 18:15:28 UTC
Next filing: 09 Jul 2021
SEC: View on sec.gov

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

Type	Sym	Class	Date	Underlying Class	Amount	Exercise Price	Ownership	Footnotes
holding	XMTR	Stock Option (right to buy)	29 Jun 2021	Common Stock	30,000	$12.32	Direct	F1
holding	XMTR	Series Seed-1 Preferred Stock	29 Jun 2021	Common Stock	100,000		Direct	F2
holding	XMTR	Series Seed-2 Preferred Stock	29 Jun 2021	Common Stock	14,234		Direct	F2
holding	XMTR	Series A-1 Preferred Stock	29 Jun 2021	Common Stock	13,691		Direct	F2

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	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.
F2	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.

Content

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.

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