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Xometry, Inc. — Director's Dealing 2021
Jul 1, 2021
31491_dirs_2021-07-01_0e3eed90-c8a6-4dc5-9e2f-69b1bd0a5c98.zip
Director's Dealing
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SEC Form 3 — Initial Statement of Beneficial Ownership
Issuer: Xometry, Inc. (XMTR)
CIK: 0001657573
Period of Report: 2021-06-29
Reporting Person: Altschuler Randolph (Director, Chief Executive Officer)
Holdings (Non-Derivative)
| Security | Shares | Ownership |
|---|---|---|
| Common Stock | 1068003 | Direct |
| Common Stock | 105000 | Indirect |
| Common Stock | 347222 | Indirect |
| Common Stock | 347222 | Indirect |
| Common Stock | 347222 | Indirect |
| Common Stock | 500000 | Indirect |
| Common Stock | 386667 | Indirect |
Holdings (Derivative)
| Security | Exercise Price | Expiration | Underlying | Shares | Ownership |
|---|---|---|---|---|---|
| Stock Option (right to buy) | $1.65 | 2028-01-29 | Common Stock (99869) | Direct | |
| Stock Option (right to buy) | $3.65 | 2029-08-07 | Common Stock (231974) | Direct | |
| Stock Option (right to buy) | $12.32 | 2031-03-27 | Common Stock (142275) | Direct | |
| Series Seed-1 Preferred Stock | $ | Common Stock (325000) | Indirect | ||
| Series Seed-1 Preferred Stock | $ | Common Stock (325000) | Direct | ||
| Series Seed-2 Preferred Stock | $ | Common Stock (51095) | Direct | ||
| Series A-1 Preferred Stock | $ | Common Stock (31213) | Direct | ||
| Series A-1 Preferred Stock | $ | Common Stock (19476) | Indirect |
Footnotes
F1: Held by the 2021 Tigers Trust, over which the Reporting Person may be deemed to exercise voting control.
F2: Held by the Matthew Sladkin Altschuler 2012 Trust, over which the Reporting Person may be deemed to exercise voting control.
F3: Held by the Noah Sladkin Altschuler 2012 Trust, over which the Reporting Person may be deemed to exercise voting control.
F4: Held by the Sasha Sladkin Altschuler 2012 Trust, over which the Reporting Person may be deemed to exercise voting control.
F5: Held by the Altschuler Family Trust (2020), over which the Reporting Person may be deemed to exercise voting control.
F6: Held by Cheryl Altschuler, Reporting Person's spouse.
F7: One quarter (1/4) of the shares vested on January 1, 2019, and thereafter, the remainder of the shares vest in 36 equal monthly installments, subject to the Reporting Person's continuous service.
F8: One quarter (1/4) of the shares vested on May 2, 2020, and thereafter, the remainder of the shares vest in 36 equal monthly installments, subject to the Reporting Person's continuous service.
F9: 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.
F10: 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.