Note: Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See §240.13d-7 for other parties to whom copies are
to be sent.
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* |
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 disclosures provided in a prior cover page.
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1
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NAME OF REPORTING PERSONS
The Anthony Geisler Trust U/A Dated 05/17/2011
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) ⌧ (b) ☐
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3
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SEC USE ONLY
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4
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SOURCE OF FUNDS
OO
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5
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CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(d) or 2(e)
☐
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6
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CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware
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NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
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7
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SOLE VOTING POWER
0
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8
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SHARED VOTING POWER
294,204(1)
|
|
9
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SOLE DISPOSITIVE POWER
0
|
|
10
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SHARED DISPOSITIVE POWER
294,204(1)
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11
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
294,204(1)
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12
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CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES
⌧
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13
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
0.9%(1)
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14
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TYPE OF REPORTING PERSON
OO
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(1) |
Consists of 294,204 shares of Class A Common Stock. The aggregate percentage of shares of Class A Common Stock reported was calculated based on 32,287,000 shares of Class A Common Stock
issued and outstanding as of November 1, 2024, as disclosed in the Issuer’s Quarterly Report on Form 10-Q for the period ended September 30, 2024, filed with the U.S. Securities and Exchange Commission on November 14, 2024.
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1
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NAME OF REPORTING PERSONS
LAG Fit, Inc.
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) ⌧ (b) ☐
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3
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SEC USE ONLY
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4
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SOURCE OF FUNDS
WC
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5
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CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(d) or 2(e)
☐
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6
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CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware
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NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
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7
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SOLE VOTING POWER
0
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8
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SHARED VOTING POWER
7,513,208(2)
|
|
9
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SOLE DISPOSITIVE POWER
0
|
|
10
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SHARED DISPOSITIVE POWER
7,513,208(2)
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11
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
7,513,208(2)
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12
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CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES
☐
|
13
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
18.9%(2)
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14
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TYPE OF REPORTING PERSON
CO
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(2) |
Consists of (i) 83,330 shares of Class A Common Stock and (ii) 7,429,878 shares of Class B Common Stock. The aggregate percentage of shares of Class A Common Stock reported was
calculated based on 32,287,000 shares of Class A Common Stock issued and outstanding as of November 1, 2024, as disclosed in the Issuer’s Quarterly Report on Form 10-Q for the period ended September 30, 2024, filed with the U.S. Securities and
Exchange Commission on November 14, 2024.
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1
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NAME OF REPORTING PERSONS
Anthony Geisler
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) ⌧ (b) ☐
|
3
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SEC USE ONLY
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4
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SOURCE OF FUNDS
WC
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5
|
CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(d) or 2(e)
☐
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6
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CITIZENSHIP OR PLACE OF ORGANIZATION
U.S.
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NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
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7
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SOLE VOTING POWER
8,059,475(3)
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8
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SHARED VOTING POWER
0
|
|
9
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SOLE DISPOSITIVE POWER
8,059,475(3)
|
|
10
|
SHARED DISPOSITIVE POWER
0
|
11
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
8,059,475(3)
|
12
|
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES
☐
|
13
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
20.3%(3)
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14
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TYPE OF REPORTING PERSON
IN
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(3) |
Consists of (i) 252,063 shares of Class A Common Stock held directly by Anthony Geisler, (ii) 294,204 shares of Class A Common Stock held directly by the Anthony Geisler Trust U/A Dated
05/17/2011, (iii) 83,330 shares of Class A Common Stock held by LAG Fit, Inc. and (iv) 7,429,878 shares of Class B Common Stock held by LAG Fit, Inc. The aggregate percentage of shares of Class A Common Stock reported was calculated based on
32,287,000 shares of Class A Common Stock issued and outstanding as of November 1, 2024, as disclosed in the Issuer’s Quarterly Report on Form 10-Q for the period ended September 30, 2024, filed with the U.S. Securities and Exchange Commission
on November 14, 2024.
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Exhibit Number
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Description of Exhibit
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8
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Assignment and Assumption Agreement, dated as of November 15, 2024, by and among Parallaxes Xenon, LLC, Anthony Geisler, the Anthony Geisler Trust U/A Dated
05/17/2021, LAG Fit, Inc. and BMG Fit, LLC.
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9
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Joinder Agreement to the Tax Receivable Agreement, dated as of November 15, 2024, by and among Xponential Fitness, Inc. and Parallaxes Xenon, LLC.
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THE ANTHONY GEISLER TRUST U/A 05/17/2011
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By:
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/s/ Anthony Geisler
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Name:
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Anthony Geisler
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Title:
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Trustee
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LAG FIT, INC.
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By:
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/s/ Anthony Geisler
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Name:
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Anthony Geisler
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Title:
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President
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ANTHONY GEISLER
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/s/ Anthony Geisler
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Name:
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Anthony Geisler
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