0001493152-22-037135.txt : 20221230 0001493152-22-037135.hdr.sgml : 20221230 20221230160532 ACCESSION NUMBER: 0001493152-22-037135 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221228 FILED AS OF DATE: 20221230 DATE AS OF CHANGE: 20221230 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cox Kevin Brian CENTRAL INDEX KEY: 0001784994 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40992 FILM NUMBER: 221502026 MAIL ADDRESS: STREET 1: 3124 BROTHER BLVD STREET 2: STE. 104 CITY: BARTLETT STATE: W6 ZIP: 38133 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 2022-12-28 0 0001392694 SurgePays, Inc. SURG 0001784994 Cox Kevin Brian 3124 BROTHER BLVD 104 BARTLETT TN 38133 1 1 1 0 CHIEF EXECUTIVE OFFICER Common Stock, $0.001 par value per share 2022-12-28 4 C 0 1050000 0 A 4502694 D Series A Preferred Stock 0 2022-12-28 4 C 0 10500000 0 D 2016-05-06 Common Stock 1050000 0 I BLC Family Investments LLC Each ten shares of Series A Preferred Stock are convertible into one share of Common Stock of the Issuer. The Series A Preferred Stock does not have an expiration date on convertibility. The shares of Series A Preferred Stock are convertible for no additional consideration at the election of the holder. Kevin Brian Cox is the beneficial owner of BLC Family Investments LLC. /s/ Kevin Brian Cox 2022-12-30