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