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