[Form 3] Katapult Holdings, Inc. Initial Statement of Beneficial Ownership

Rhea-AI Filing Summary

Katapult Holdings (KPLT)Jeffrey Rubin. The filing reports no securities beneficially owned as of the event date 11/03/2025. The form was submitted by attorney-in-fact Ryan Wigdor under a power of attorney (Exhibit 24).

11/05/2025 - 08:55 PM

SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person^*

RUBIN JEFFREY

(Last) (First) (Middle)

5360 LEGACY DRIVE BUILDING 2

(Street)

PLANO TX 75024-7141

(City) (State) (Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
11/03/2025

3. Issuer Name and Ticker or Trading Symbol
Katapult Holdings, Inc. [ KPLT ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director		10% Owner
	Officer (give title below)		Other (specify below)

5. 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 Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
	Date Exercisable	Expiration Date	Title	Amount or Number of Shares

Explanation of Responses:

Remarks:

Exhibit List - Exhibit 24 - Power of Attorney

No securities are beneficially owned.

	/s/ Ryan Wigdor, attorney-in-fact for Jeffrey Rubin	11/05/2025
	** 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 5 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.

FAQ

What did Katapult (KPLT) disclose in this Form 3?

An initial statement of beneficial ownership for director Jeffrey Rubin reporting no securities beneficially owned as of 11/03/2025.

Who is the reporting person in Katapult’s (KPLT) Form 3?

The reporting person is Jeffrey Rubin, identified as a Director.

How many Katapult (KPLT) securities does the director report owning?

The filing states no securities are beneficially owned at the time of the event.

When is the Form 3 event date for KPLT?

The event date disclosed is 11/03/2025.

Who signed the Form 3 for KPLT?

It was signed by /s/ Ryan Wigdor as attorney-in-fact for Jeffrey Rubin, referencing Exhibit 24 (Power of Attorney).

Is this Form 3 filed by one or multiple reporting persons?

The form indicates it was filed by one reporting person.