0001683168-23-008151.txt : 20231114
0001683168-23-008151.hdr.sgml : 20231114
20231114204921
ACCESSION NUMBER: 0001683168-23-008151
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231110
FILED AS OF DATE: 20231114
DATE AS OF CHANGE: 20231114
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ballengee James H.
CENTRAL INDEX KEY: 0001646366
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41286
FILM NUMBER: 231408833
MAIL ADDRESS:
STREET 1: 2009 CHENAULT DRIVE
STREET 2: SUITE 100
CITY: CARROLLTON
STATE: TX
ZIP: 75006
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Vivakor, Inc.
CENTRAL INDEX KEY: 0001450704
STANDARD INDUSTRIAL CLASSIFICATION: REFUSE SYSTEMS [4953]
IRS NUMBER: 262178141
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4101 NORTH THANKSGIVING WAY
CITY: LEHI
STATE: UT
ZIP: 84043
BUSINESS PHONE: (949) 887-6890
MAIL ADDRESS:
STREET 1: 4101 NORTH THANKSGIVING WAY
CITY: LEHI
STATE: UT
ZIP: 84043
4
1
ownership.xml
X0508
4
2023-11-10
0
0001450704
Vivakor, Inc.
VIVK
0001646366
Ballengee James H.
5151 BELTLINE ROAD, SUITE 715
DALLAS
TX
75234
1
1
1
0
Chief Executive Officer
0
Common Stock, par value $0.001
2023-11-10
4
J
0
7042254
1.4200
A
10051806
I
See Footnote
Common Stock, par value $0.001
2023-11-10
4
J
0
923672
1.0826
A
1023672
D
Shares issued to Jorgan Development, LLC ("Jorgan"), in exchange for forgiveness and cancellation of the note payable in the amount of $10,000,000.68 per the terms of a Membership Interest Purchase Agreement between Jorgan and the Issuer dated August 1, 2022.
The shares issued to James Ballengee pursuant to his employment agreement with the Issuer, pursuant to which $1,000,000 in shares were to be issued priced at the volume weighted average price (VWAP) for the five trading days preceding the effective date of the employment agreement, which was $1.082635 per share.
Mr. Ballengee has beneficial ownership of shares owned by Jorgan Development, LLC (10,021,710 shares) and JBAH Holdings, LLC (30,096 shares).
/s/ James Ballengee
2023-11-14