0001493152-24-020773.txt : 20240520
0001493152-24-020773.hdr.sgml : 20240520
20240520172434
ACCESSION NUMBER: 0001493152-24-020773
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240516
FILED AS OF DATE: 20240520
DATE AS OF CHANGE: 20240520
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FARKAS MICHAEL D
CENTRAL INDEX KEY: 0001128728
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40809
FILM NUMBER: 24965940
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: EzFill Holdings Inc
CENTRAL INDEX KEY: 0001817004
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO DEALERS & GASOLINE STATIONS [5500]
ORGANIZATION NAME: 07 Trade & Services
IRS NUMBER: 834260623
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 67 NW 183RD ST
CITY: MIAMI
STATE: FL
ZIP: 33169
BUSINESS PHONE: 305-791-1169
MAIL ADDRESS:
STREET 1: 67 NW 183RD ST
CITY: MIAMI
STATE: FL
ZIP: 33169
4
1
ownership.xml
X0508
4
2024-05-16
0
0001817004
EzFill Holdings Inc
EZFL
0001128728
FARKAS MICHAEL D
C/O EZFILL HOLDINGS, INC.
67 NW 183RD STREET
MIAMI
FL
33139
0
0
1
0
0
Common Stock, par value $0.0001 per share
2024-05-16
4
J
0
156000
A
1326567
I
See Footnotes
Common Stock, par value $0.0001 per share
2024-05-16
4
P
0
5000
2.60
A
1331567
D
Common Stock, par value $0.0001 per share
2024-05-17
4
P
0
1800
2.63
A
1333367
D
Common Stock, par value $0.0001 per share
2024-05-17
4
P
0
3600
2.63
A
1336967
D
Common Stock, par value $0.0001 per share
2024-05-20
4
P
0
2000
2.6
A
1338967
D
Common Stock, par value $0.0001 per share
2024-05-20
4
P
0
1000
2.57
A
1339967
D
Common Stock, par value $0.0001 per share
2024-05-20
4
P
0
600
2.57
A
1340567
D
Common Stock, par value $0.0001 per share
2024-05-20
4
P
0
1000
2.55
A
1341567
D
The shares of common stock were issued as payment for commitment fees pursuant to certain promissory notes dated as of February 28, March 8, and March 15, 2024, between the Issuer and NextNRG Holding Corp.
The Reporting Person is the President of the Farkas Group, Inc., and beneficially owns 422,335 shares of common stock held by the Farkas Group, Inc.
The Reporting Person is the Manager of SIF Energy LLC, and beneficially owns 387,067 shares of common stock held by SIF Energy LLC.
The Reporting Person is the Chief Executive Officer and member of the board of directors of Balance Labs, Inc., and beneficially owns 66,443 shares of common stock held by Balance Labs, Inc.
The Reporting Person is the Chief Executive Officer and Chairman of NextNRG Holding Corp., and beneficially owns 450,722 shares of common stock held by NextNRG Holding Corp.
/s/ Michael D. Farkas
2024-05-20