Katapult Holdings, Inc. — Director's Dealing 2021

Jun 15, 2021

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: Katapult Holdings, Inc. (KPLT)
CIK: 0001785424
Period of Report: 2021-06-09

Reporting Person: Medlin Derek (Chief Operating Officer)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2021-06-09	Common Stock	J	263482	—	Acquired	263482	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2021-06-09	Stock Options (right to buy)	$0.54	A	79646	Acquired	2027-07-30	Common Stock (79646)	Direct
2021-06-09	Stock Options (right to buy)	$0.85	A	94612	Acquired	2028-07-31	Common Stock (94612)	Direct
2021-06-09	Stock Options (right to buy)	$0.19	A	204671	Acquired	2029-09-04	Common Stock (204671)	Direct
2021-06-09	Stock Options (right to buy)	$0.19	A	702914	Acquired	2029-09-04	Common Stock (702914)	Direct

Footnotes

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.