Amended Statement of Ownership (sc 13g/a)
14 February 2023 - 08:20AM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 1)*
Xometry, Inc.
(Name of Issuer)
Class A Common Stock, $0.000001 par value
per share
(Title of Class of Securities)
98423F109
(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:
* |
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.
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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).
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1. |
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Names of Reporting Person
Randolph Altschuler
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2. |
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Check the Appropriate Box if a Member of a Group (see
instructions)
(a) ☐ (b) ☐
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3. |
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SEC USE ONLY
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4. |
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Citizenship or Place of Organization
United States
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Number of
Shares
Beneficially
Owned by
Each
Reporting
Person
With:
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5. |
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Sole Voting Power
1,899,606 shares(1)
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6. |
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Shared Voting Power
2,205,699 shares(2)
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7. |
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Sole Dispositive Power
1,899,606 shares(1)
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8. |
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Shared Dispositive Power
1,130,518 shares(3)
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9. |
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Aggregate Amount Beneficially Owned by Each Reporting
Person
4,105,305 shares(4)
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10. |
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Check if the Aggregate Amount in Row (9) Excludes
Certain Shares (see instructions)
☐
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11. |
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Percent of Class Represented by Amount in Row 9
8.81%(5)
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12. |
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Type of Reporting Person (see instructions)
IN
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(1) |
Consists of (i) 52,556 shares of Class A Common
Stock held by Mr. Altschuler; (ii) 1,475,311 shares of
Class B Common Stock held by Mr. Altschuler, which shares
are convertible at any time into Class A Common Stock on
a one-to-one basis;
(iii) 359,859 shares of Class A Common Stock underlying
outstanding options held by Mr. Altschuler that are
exercisable within 60 days of December 31, 2022; and (iv)
11,880 shares of Class A Common Stock underlying outstanding
restricted stock units (“RSUs”) held by Mr. Altschuler that
are issuable upon the vesting of such RSUs within 60 days of
December 31, 2022.
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(2) |
Consists of (i) 89,582 shares of Class A Common
Stock held by the 2021 Tigers Trust; (ii) 328,533 shares of
Class A Common Stock held by the Matthew Sladkin Altschuler
2012 Trust; (iii) 328,533 shares of Class A Common Stock held
by the Noah Sladkin Altschuler 2012 Trust; (iv) 328,533 shares of
Class A Common Stock held by the Sasha Sladkin Altschuler 2012
Trust; (v) 479,248 shares of Class A Common Stock held by The
Altschuler Family Trust (2020); and (vi) 651,270 shares of
Class A Common Stock held by Mr. Altschuler’s spouse.
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(3) |
Consists of (i) 479,248 shares of Class A Common
Stock held by The Altschuler Family Trust (2020); and (ii) 651,270
shares of Class A Common Stock held by Mr. Altschuler’s
spouse.
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(4) |
Consists of (i) 52,556 shares of Class A Common
Stock of the Issuer held by Mr. Altschuler, (ii) 89,582 shares
of Class A Common Stock held by the 2021 Tigers Trust; (iii)
328,533 shares of Class A Common Stock held by the Matthew
Sladkin Altschuler 2012 Trust; (iv) 328,533 shares of Class A
Common Stock held by the Noah Sladkin Altschuler 2012 Trust; (v)
328,533 shares of Class A Common Stock held by the Sasha
Sladkin Altschuler 2012 Trust; (vi) 479,248 shares of Class A
Common Stock held by The Altschuler Family Trust (2020); (vii)
651,270 shares of Class A Common Stock held by
Mr. Altschuler’s spouse; (viii) 1,475,311 shares of
Class B Common Stock of the Issuer held by
Mr. Altschuler, which shares are convertible at any time into
Class A Common Stock on a one-to-one basis;
(ix) 359,859 shares of Class A Common Stock underlying
outstanding options held by Mr. Altschuler that are
exercisable within 60 days of December 31, 2022; and (x)
11,880 shares of Class A Common Stock underlying outstanding
RSUs held by Mr. Altschuler that are issuable upon the vesting
of such RSUs within 60 days of December 31, 2022.
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(5) |
This percentage is calculated based on 44,763,937
shares of Class A Common Stock outstanding as of
November 2, 2022, as reported by the Issuer in its Form
10-Q for the quarter ended
September 30, 2022, filed with the United States Securities
and Exchange Commission on November 14, 2022 (the “Form
10-Q”).
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Item 1(a). |
Name of Issuer: Xometry, Inc.
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Item 1(b). |
Address of Issuer’s Principal Executive Offices: 6116
Executive Blvd., Suite 800, North Bethesda, MD 20852
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Item 2(a). |
Name of Person Filing:
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Item 2(b). |
Address of Principal Business Office or, if none,
Residence: The address and principal business office of the
Reporting Person is:
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6116 |
Executive Blvd., Suite 800
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Item 2(d). |
Title of Class of Securities: Class A Common
Stock
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Item 2(e). |
CUSIP Number: 98423F109
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Provide the following information regarding the aggregate number
and percentage of the class of securities of the Issuer identified
in Item 1.
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(a) |
Amount Beneficially Owned: See Row 9 of cover page
for the Reporting Person.
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(b) |
Percent of Class: See Row 11 of cover page for the
Reporting Person.
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(c) |
Number of shares as to which the person has:
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(i) |
Sole power to vote or to direct the vote: See Row 5
of cover page for the Reporting Person.
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(ii) |
Shared power to vote or to direct the vote: See Row
6 of cover page for the Reporting Person.
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(iii) |
Sole power to dispose or to direct the disposition of:
See Row 7 of cover page for the Reporting Person.
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(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 5 Percent or Less of a Class
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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 5 Percent on Behalf of
Another Person
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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.
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Not applicable.
Item 8. |
Identification and Classification of Members of the
Group
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Not applicable.
Item 9. |
Notice of Dissolution of a Group
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Not applicable.
Not applicable.
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.
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February 13, 2023 |
Date |
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/s/ Randolph Altschuler |
Randolph Altschuler |
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