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