4//SEC Filing
FARKAS MICHAEL D 4
Accession 0001493152-24-033346
CIK 0001817004other
Filed
Aug 19, 8:00 PM ET
Accepted
Aug 20, 9:29 PM ET
Size
8.6 KB
Accession
0001493152-24-033346
Insider Transaction Report
Form 4
FARKAS MICHAEL D
DirectorCEO and Executive Chairman10% Owner
Transactions
- Other
Common Stock, par value $0.0001 per share
2024-08-16$2.78/sh+3,525,341$9,800,448→ 4,876,908 total(indirect: NextNRG Holding Corp.) - Purchase
Series B Convertible Preferred Stock
2024-08-16$10.00/sh+140,000$1,400,000→ 140,000 total(indirect: NextNRG Holding Corp.)Exercise: $1.93→ Common Stock (724,638 underlying)
Footnotes (4)
- [F1]On August 16, 2024, NextNRG Holding Corp. ("NextNRG") exchanged promissory notes previously issued by the Issuer to NextNRG in the aggregate principal amount of $9,800,449 for 3,525,341 shares of the Issuer's common stock pursuant to an Exchange Agreement entered into between NextNRG and the Issuer dated August 16, 2024.
- [F2]NextNRG is an entity controlled by the reporting person, and the reported securities may be deemed to be indirectly beneficially owned by the reporting person. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that such person is the beneficial owner of the securities for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose.
- [F3]Shares are convertible following approval of the Issuer's stockholders of the issuance of the common stock issuable upon conversion of the preferred stock and the approval of Nasdaq or other securities exchange where the common stock is listed for public trading.
- [F4]The number of shares is subject to proportional adjustment in the event of a stock split, stock dividend, stock combination, recapitalization or other similar transaction.
Documents
Issuer
EzFill Holdings Inc
CIK 0001817004
Entity typeother
Related Parties
1- filerCIK 0001128728
Filing Metadata
- Form type
- 4
- Filed
- Aug 19, 8:00 PM ET
- Accepted
- Aug 20, 9:29 PM ET
- Size
- 8.6 KB