SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Geisler Anthony

(Last) (First) (Middle)
C/O XPONENTIAL FITNESS, INC.
17877 VON KARMAN AVE., SUITE 100

(Street)
IRVINE CA 92614

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Xponential Fitness, Inc. [ XPOF ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
Chief Executive Officer
3. Date of Earliest Transaction (Month/Day/Year)
01/03/2023
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Class A Common Stock 09/29/2022 G(7) V 34,013 D $0 356,138 D
Class A Common Stock 09/29/2022 G(7) V 34,013 A $0 52,514 I The Anthony Geisler Trust U/A Dated 05/17/2011(3)
Class B Common Stock 01/03/2023 D 1,000,000(1) D $0 1,029,256 I The Anthony Geisler Trust U/A Dated 05/17/2011(3)
Class A Common Stock 01/03/2023 M 1,000,000(1) A $0 1,052,514 I The Anthony Geisler Trust U/A Dated 05/17/2011(3)
Class B Common Stock 7,439,858 I LAG Fit, Inc.(2)
Class A Common Stock 83,330 I LAG Fit, Inc.(2)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
LLC Units in Xponential Holdings LLC (4) 11/23/2022 G(7) V 2,029,256 (5) (6) Class A Common Stock 2,029,256 (4) 0 D
LLC Units in Xponential Holdings LLC (4) 11/23/2022 G(7) V 2,029,256 (5) (6) Class A Common Stock 2,029,256 (4) 2,029,256 I The Anthony Geisler Trust U/A Dated 05/17/2011(3)
LLC Units in Xponential Holdings LLC (4) 01/03/2023 C(1) 1,000,000(1) (5) (6) Class A Common Stock 1,000,000 (4) 1,029,256 I The Anthony Geisler Trust U/A Dated 05/17/2011(3)
LLC Units in Xponential Holdings LLC (4) (5) (6) Class A Common Stock 7,439,858 7,439,858 I LAG Fit, Inc.(2)
Explanation of Responses:
1. The Reporting Person elected to redeem his LLC Units for shares of Class A common stock pursuant to the terms of the LLC Agreement.
2. LAG Fit, Inc. is wholly owned by Mr. Geisler. Mr. Geisler has reported sole investment and dispositive power over the shares held by LAG Fit, Inc.
3. Shares are owned directly by the Anthony Geisler Trust U/A Dated 05/17/2011 and indirectly by Mr. Geisler as trustee of the trust.
4. Any vested LLC Unit may be redeemed for, together with the cancellation of a share of Class B common stock, one share of Class A common stock or a cash payment equal to the volume weighted average market price of one share of Class A common stock for each LLC Unit redeemed.
5. All LLC Units are vested and redeemable into shares of Class A common stock.
6. The LLC Units do not expire.
7. Reflects transfer of shares without consideration from Mr. Geisler to his family trust for which Mr. Geisler is the trustee.
/s/ John Meloun, as Attorney-in-Fact, for Anthony Geisler 01/05/2023
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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