Insider filing report for Changes in Beneficial Ownership
- Schedule 13G & 13D forms are used to report a party's ownership of stock which exceeds 5% of a company's total stock issue.
- Schedule 13G is a shorter version of Schedule 13D with fewer reporting requirements.
- Peter Lynch
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. )*
Katapult Holdings, Inc.
(Name of Issuer)
Common Stock, par value $0.0001 per share
(Title of Class of Securities)
485859 10 2
(CUSIP Number)
December 31, 2022
(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
|
¨
¨
x |
Rule 13d-1(b)
Rule 13d-1(c)
Rule 13d-1(d) |
*The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
| CUSIP No. 485859 10 2 | ||||
| 1. |
Names of Reporting Persons
Brian Hirsch | |||
| 2. | Check the Appropriate Box if a Member of a Group (See Instructions) | |||
|
(a)
(b) |
¨
¨ | |||
| 3. | SEC Use Only | |||
| 4. |
Citizenship or Place of Organization
United States | |||
|
Number of Shares Beneficially Owned by Each Reporting Person With |
5. |
Sole Voting Power
408,809 | ||
| 6. |
Shared Voting Power
4,608,069 shares (1) | |||
| 7. |
Sole Dispositive Power
408,809 | |||
| 8. |
Shared Dispositive Power
4,608,069 shares (1) | |||
| 9. |
Aggregate Amount Beneficially Owned by Each Reporting Person
5,016,878 shares (1) | |||
| 10. | Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) ¨ | |||
| 11. |
Percent of Class Represented by Amount in Row (9)
5.1% (2) | |||
| 12. |
Type of Reporting Person (See Instructions)
IN | |||
| (1) | Includes 3,831,713 shares held by Tribeca Venture Fund I, L.P., 657,535 shares held by Tribeca Venture Fund I (NY), L.P. and 118,821 shares held by Tribeca Access Fund, L.P. (collectively, the “Tribeca Funds”). The reporting person is a managing partner of the general partner of each of the Tribeca Funds. |
| (2) | This percentage is based on a total of 98,448,244 shares of common stock outstanding as of November 7, 2022, as reported in the Issuer’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2022, as filed with the SEC on November 9, 2022. |
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| Item 1. | |||
| (a) |
Name of Is suer Katapult Holdings, Inc. | ||
| (b) |
Address of Issuer’s Principal Executive Offices 5204 Tennyson Parkway, Suite 500 Plano, TX 75024 | ||
| Item 2. | |||
| (a) |
Name of Person Filing Brian Hirsch | ||
| (b) |
Address of Principal Business Office or, if none, Residence 99 Hudson Street 15th Floor New York, NY 10013 | ||
| (c) |
Citizenship United States | ||
| (d) |
Title of Class of Securities Common Stock, par value $0.0001 per share | ||
| (e) |
CUSIP Number 485859 10 2 | ||
| Item 3. | If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a: | ||
| Not applicable | |||
| Item 4. | Ownership | ||
| The following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1 is provided as of December 31, 2022: | |||
| (a) |
Amount beneficially owned:
See Row 9 of cover page for the Reporting Person | ||
| (b) |
Percent of class:
See Row 11 of cover page for the Reporting Person | ||
| (c) | Number of shares as to which the person has: | ||
| (i) |
Sole power to vote or to direct the vote:
See Row 5 of cover page for the Reporting Person. | ||
| (ii) |
Shared power to vote or to direct the vote:
See Row 6 of cover page for the Reporting Person. | ||
| (iii) |
Sole power to dispose or to direct the disposition of:
See Row 7 of cover page for the Reporting Person. | ||
| (iv) |
Shared power to dispose or to direct the disposition of:
See Row 8 of cover page for the Reporting Person. | ||
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| Item 5. | Ownership of Five Percent or Less of a Class |
| If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following ¨ | |
| Item 6. | Ownership of More than Five Percent on Behalf of Another Person |
| Not applicable | |
| Item 7. | Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person |
| Not applicable | |
| Item 8. | Identification and Classification of Members of the Group |
| Not applicable | |
| Item 9. | Notice of Dissolution of Group |
| Not applicable | |
| Item 10. | Certification |
| Not applicable | |
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Signature
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
Dated: February 14, 2023
| /s/ Brian Hirsch | |
| Brian Hirsch |
| ATTENTION | ||
| Intentional misstatements or omissions of fact constitute Federal Criminal Violations (See 18 U.S.C. 1001). | ||
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