Derek Medlin - 09 Jun 2021 Form 4 Insider Report for Katapult Holdings, Inc. (KPLT)

Role
Chief Operating Officer
Signature
/s/ Derek Medlin
Issuer symbol
KPLT
Transactions as of
09 Jun 2021
Net transactions value
$0
Form type
4
Filing time
14 Jun 2021, 21:46:46 UTC
Next filing
13 Aug 2021
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction KPLT Common Stock Other $0 +263,482 $0.000000 263,482 09 Jun 2021 Direct F1, F2

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
transaction KPLT Stock Options (right to buy) Award $0 +79,646 $0.000000 79,646 09 Jun 2021 Common Stock 79,646 $0.5400 Direct
transaction KPLT Stock Options (right to buy) Award $0 +94,612 $0.000000 94,612 09 Jun 2021 Common Stock 94,612 $0.8500 Direct
transaction KPLT Stock Options (right to buy) Award $0 +204,671 $0.000000 204,671 09 Jun 2021 Common Stock 204,671 $0.1900 Direct
transaction KPLT Stock Options (right to buy) Award $0 +702,914 $0.000000 702,914 09 Jun 2021 Common Stock 702,914 $0.1900 Direct
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Shares were acquired pursuant to Katapult Holdings, Inc.'s (the "Issuer") initial business combination in exchange for shares of the legacy Katapult Holdings, Inc. entity that were owned by the reporting person prior to the Closing.
F2 Includes earn out shares granted in connection with the Issuer's initial business combination, subject to certain vesting provisions.