0001493152-24-028852.txt : 20240723 0001493152-24-028852.hdr.sgml : 20240723 20240723184234 ACCESSION NUMBER: 0001493152-24-028852 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240529 FILED AS OF DATE: 20240723 DATE AS OF CHANGE: 20240723 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FARKAS MICHAEL D CENTRAL INDEX KEY: 0001128728 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-40809 FILM NUMBER: 241135756 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/A 1 ownership.xml X0508 4/A 2024-05-29 2024-05-31 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 2024-07-19 4 J 0 106836 A 1341567 I See Footnotes The Form 4 filed by the Reporting Person on May 31, 2024 is hereby amended to change the Transaction Code from "S" to "J" and delete the number and price of shares disposed of as it relates to 106,836 shares of the Issuer's common stock (the "Reported Transaction") as the agreement between NextNRG Holding Corp. and Stat-EI Inc. and its shareholders pursuant to which these shares were initially transferred was deemed to be null and void ab initio. Consequently, there was no disposition of the 106,836 shares of the Issuer's common stock by the Reporting Person and the Amount of Securities beneficially owned by the Reporting Person following the Reported Transaction was increased by 106,836 from the previously reported 1,234,731 shares to 1,341,567 shares. The amounts reported as the "Amount of Securities Beneficially Owned Following Reported Transactions" on the Reporting Person's Form 4 filed with the SEC on June 7, 2024 is hereby deemed amended to increase such amounts by 106,836 shares. The Reporting Person is the Chief Executive Officer and Chairman of NextNRG Holding Corp., and beneficially owns 343,886 shares of common stock held by NextNRG Holding Corp. /s/ Michael D. Farkas 2024-07-23