0001493152-21-031673.txt : 20211216 0001493152-21-031673.hdr.sgml : 20211216 20211216123656 ACCESSION NUMBER: 0001493152-21-031673 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211215 FILED AS OF DATE: 20211216 DATE AS OF CHANGE: 20211216 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mott John CENTRAL INDEX KEY: 0001846423 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40992 FILM NUMBER: 211496883 MAIL ADDRESS: STREET 1: 890 W, HILLWOOD DM CITY: NASHVILLE STATE: TN ZIP: 37205 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SurgePays, Inc. CENTRAL INDEX KEY: 0001392694 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-ADVERTISING [7310] 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 X0306 4 2021-12-15 0 0001392694 SurgePays, Inc. SURG 0001846423 Mott John 3124 BROTHER BLVD 104 BARTLETT TN 38133 0 1 0 0 CHIEF TECHNOLOGY OFFICER Common stock, $0.001 par value per share 2021-12-15 4 P 0 1000 2.21 A 8188 D /s/ John Mott 2021-12-16