0001493152-24-016570.txt : 20240426
0001493152-24-016570.hdr.sgml : 20240426
20240426163051
ACCESSION NUMBER: 0001493152-24-016570
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240425
FILED AS OF DATE: 20240426
DATE AS OF CHANGE: 20240426
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KEYS DAVID N
CENTRAL INDEX KEY: 0001267667
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40992
FILM NUMBER: 24884375
MAIL ADDRESS:
STREET 1: 3770 HOWARD HUGHES PARKWAY
STREET 2: STE 300
CITY: LAS VEGAS
STATE: NV
ZIP: 89109
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: SurgePays, Inc.
CENTRAL INDEX KEY: 0001392694
STANDARD INDUSTRIAL CLASSIFICATION: TELEPHONE COMMUNICATIONS (NO RADIO TELEPHONE) [4813]
ORGANIZATION NAME: 06 Technology
IRS NUMBER: 980550352
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3124 BROTHER BLVD
STREET 2: SUITE 104
CITY: BARTLETT
STATE: TN
ZIP: 38133
BUSINESS PHONE: 901-302-9587
MAIL ADDRESS:
STREET 1: 3124 BROTHER BLVD
STREET 2: SUITE 104
CITY: BARTLETT
STATE: TN
ZIP: 38133
FORMER COMPANY:
FORMER CONFORMED NAME: Surge Holdings, Inc.
DATE OF NAME CHANGE: 20180102
FORMER COMPANY:
FORMER CONFORMED NAME: KSIX Media Holdings, Inc.
DATE OF NAME CHANGE: 20150728
FORMER COMPANY:
FORMER CONFORMED NAME: North American Energy Resources, Inc.
DATE OF NAME CHANGE: 20150528
4
1
ownership.xml
X0508
4
2024-04-25
0
0001392694
SurgePays, Inc.
SURG
0001267667
KEYS DAVID N
3124 BROTHER BLVD, SUITE 410
BARLETT
TN
38133
1
0
0
0
0
Restricted Shares (Common Stock)
2024-04-25
4
A
0
14880
0
A
31923
D
These shares were issued pursuant to the provisions of the SurgePays, Inc. 2022 Omnibus Securities and Incentive Plan (the "2022 Plan") and a Restricted Share Award Agreement, dated April 25, 2024, by and between SurgePays, Inc. (the "Company") and Mr. Keys (the "RSA Agreement"). The RSA Agreement provides that the shares will not vest until the earliest to occur of (a) the director no longer serves as a director of the Company for any reason (including, but not limited to, upon death or disability that renders the director incapable of providing services to the Company) other than a Termination of Service for Cause (as defined in the RSA Agreement); (b) upon the occurrence of a Change in Control (as defined in the 2022 Plan); or (c) the fourth anniversary of the award date.
Includes (i) 1,666 shares held in an IRA owned by Mr. Keys' wife, however, Mr. Keys shares investing and dipositive power over these holdings, (ii) 5,377 shares in total held by two different IRAs owned by Mr. Keys; and (iii) 10,000 shares are held by PCC Holdings LLC. Mr. Keys shares investing and dipositive power over these holdings.
/s/ David N. Keys
2024-04-25