Derek Medlin - Jun 9, 2021 Form 4 Insider Report for Katapult Holdings, Inc. (KPLT)

Role
Chief Operating Officer
Signature
/s/ Derek Medlin
Stock symbol
KPLT
Transactions as of
Jun 9, 2021
Transactions value $
$0
Form type
4
Date filed
6/14/2021, 09:46 PM
Next filing
Aug 13, 2021

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction KPLT Common Stock Other $0 +263K $0.00 263K Jun 9, 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 +79.6K $0.00 79.6K Jun 9, 2021 Common Stock 79.6K $0.54 Direct
transaction KPLT Stock Options (right to buy) Award $0 +94.6K $0.00 94.6K Jun 9, 2021 Common Stock 94.6K $0.85 Direct
transaction KPLT Stock Options (right to buy) Award $0 +205K $0.00 205K Jun 9, 2021 Common Stock 205K $0.19 Direct
transaction KPLT Stock Options (right to buy) Award $0 +703K $0.00 703K Jun 9, 2021 Common Stock 703K $0.19 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.