[Form 4] Katapult Holdings, Inc. Insider Trading Activity

Rhea-AI Filing Summary

Katapult Holdings, Inc. (KPLT)

These tax-withholding events relate to RSU grants from 2021, 2022, 2023 and 2024, with transaction dates from 08/15/2023 through 11/17/2025. After the most recent withholding on 11/17/2025, Medlin beneficially owns 55,811 shares of Katapult common stock directly.

11/19/2025 - 09:11 PM

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).

Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

1. Name and Address of Reporting Person^*

Medlin Derek

(Last) (First) (Middle)

5360 LEGACY DRIVE

BUILDING 2

(Street)

PLANO TX 75024-7141

(City) (State) (Zip)

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

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

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

3. Date of Earliest Transaction (Month/Day/Year)
08/15/2023

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
Common Stock	08/15/2023		F		657(1)(2)(3)	D	$462.25	52,399	D
Common Stock	05/15/2024		F		1,137(4)(5)	D	$18.66	67,281	D
Common Stock	08/15/2024		F		1,138(5)	D	$13.53	66,143	D
Common Stock	11/15/2024		F		1,137(5)	D	$6.63	65,006	D
Common Stock	02/15/2025		F		1,299(5)	D	$9.87	63,707	D
Common Stock	03/15/2025		F		2,653(6)(7)	D	$11.47	61,054	D
Common Stock	05/15/2025		F		1,656(8)	D	$7.65	59,398	D
Common Stock	08/15/2025		F		1,657(8)	D	$14.05	57,741	D
Common Stock	11/17/2025		F		1,654(8)	D	$5.98	55,811	D

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

Explanation of Responses:

1. On September 9, 2021, the reporting person was granted 110,213 restricted stock units ("RSUs") (which, following the Issuer's July 27, 2023 1-for-25 reverse stock split, resulted in 4,409 RSUs), 25% of which vested on March 15, 2022, with the remainder scheduled to vest thereafter in 12 quarterly installments on each of May 15, August 15, November 15 and February 15 subject to the reporting person's continued employment with the Issuer on each applicable vesting date (the "2021 Award"). The reporting person has reported prior grants of RSUs under the 2021 Award in Table II of Form 4.

2. On March 15, 2022, the reporting person was granted 592,946 RSUs (which, following the Issuer's July 27, 2023 1-for-25 reverse stock split, resulted in 23,718 RSUs), 25% of which vested on March 15, 2023, with the remainder scheduled to vest thereafter in 12 quarterly installments on each of May 15, August 15, November 15 and February 15 subject to the reporting person's continued employment with the Issuer on each applicable vesting date (the "2022 Award").

3. The shares reported in Column 4 are shares withheld for the payment of taxes associated with the 2021 Award and 2022 Award and were previously included in the shares reported under Transaction Code F in Table I of the Form 4 filed on November 17, 2023.

4. On June 16, 2023, the reporting person was granted 385,000 RSUs (which, following the Issuer's July 27, 2023 1-for-25 reverse stock split, resulted in 15,400 RSUs), one-third of which vested on March 15, 2024, and the remainder scheduled to vest thereafter in eight quarterly installments on each of May 15, August 15, November 15 and February 15 subject to the reporting person's continued employment with the Issuer on each applicable vesting date (the "2023 Award").

5. The shares reported in Column 4 are shares withheld for the payment of taxes associated with the 2021 Award, 2022 Award and 2023 Award.

6. On May 6, 2024, the reporting person was granted 20,000 RSUs, one-third of which vested on March 15, 2025, and the remainder scheduled to vest thereafter in eight quarterly installments on each of May 15, August 15, November 15 and February 15 subject to the reporting person's continued employment with the Issuer on each applicable vesting date (the "2024 Award").

7. The shares reported in Column 4 are shares withheld for the payment of taxes associated with the 2021 Award, 2022 Award and 2024 Award.

8. The shares reported in Column 4 are shares withheld for the payment of taxes associated with the 2022 Award, 2023 Award and 2024 Award.

	/s/ Ryan Wigdor as Attorney-in-Fact for Derek Medlin	11/19/2025
	** 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 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).
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 does the Katapult (KPLT) Form 4 filing report for the COO?

The Form 4 reports that Katapult’s Chief Operating Officer, Derek Medlin, had shares of common stock withheld by the company to pay taxes due on vesting restricted stock units (RSUs).

Which Katapult (KPLT) awards are involved in this Form 4?

The transactions relate to RSU grants from 2021, 2022, 2023 and 2024, described as the 2021 Award, 2022 Award, 2023 Award and 2024 Award.

What is transaction code "F" in the Katapult (KPLT) Form 4?

Transaction code "F" indicates that shares were withheld to pay taxes in connection with the vesting of equity awards, rather than shares being bought or sold on the market.

How many Katapult (KPLT) shares does Derek Medlin own after these transactions?

Following the reported tax-withholding transactions, Derek Medlin beneficially owns 55,811 shares of Katapult common stock, held directly.

Over what period did the Katapult (KPLT) RSU tax withholdings occur?

The Form 4 lists withholding transactions on common stock from 08/15/2023 through 11/17/2025, tied to scheduled vesting dates of multiple RSU awards.

Does the Katapult (KPLT) Form 4 show any open-market share purchases or sales?

No. All reported entries use code "F", indicating shares withheld for tax obligations on RSU vesting, not open-market purchases or sales.