0001144204-18-003991.txt : 20180126 0001144204-18-003991.hdr.sgml : 20180126 20180126153003 ACCESSION NUMBER: 0001144204-18-003991 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171020 FILED AS OF DATE: 20180126 DATE AS OF CHANGE: 20180126 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHEFTS MARK CENTRAL INDEX KEY: 0001270809 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37899 FILM NUMBER: 18551649 MAIL ADDRESS: STREET 1: 160 SUMMIT AVE CITY: MONTVALE STATE: NJ ZIP: 07645 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Alliance MMA, Inc. CENTRAL INDEX KEY: 0001674227 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS AMUSEMENT & RECREATION [7990] IRS NUMBER: 475412331 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 590 MADISON AVENUE CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 2127397825 MAIL ADDRESS: STREET 1: 590 MADISON AVENUE CITY: NEW YORK STATE: NY ZIP: 10022 4 1 tv484195_4.xml OWNERSHIP DOCUMENT X0306 4 2017-10-20 0 0001674227 Alliance MMA, Inc. AMMA 0001270809 SHEFTS MARK C/O ALLIANCE MMA, INC. 590 MADISON AVENUE, 21ST FLOOR NEW YORK NY 10022 1 0 0 0 Common Stock par value $0.001 2017-10-20 4 P 0 183486 200000 A 373763 D In addition to the 38,888 shares of common stock held directly, also includes 151,389 shares held by the Rushcap Group, Inc., of which Mr. Shefts and his spouse, Wanda Shefts, are the sole stockholders. Mr. Shefts has voting and dispositive power over the shares held by the Rushcap Group, Inc. /s/ Mark Shefts 2018-01-26