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: Zayas Orlando (Director, Chief Executive Officer)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2021-06-09	Common Stock	J	1513251	—	Acquired	1513251	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2021-06-09	Stock Options (right to buy)	$0.19	A	554319	Acquired	2029-09-04	Common Stock (554319)	Direct
2021-06-09	Stock Options (right to buy)	$0.54	A	882457	Acquired	2027-11-20	Common Stock (882457)	Direct
2021-06-09	Stock Options (right to buy)	$0.19	A	2811656	Acquired	2029-09-04	Common Stock (2811656)	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.