0001493152-21-022750.txt : 20210914
0001493152-21-022750.hdr.sgml : 20210914
20210914212518
ACCESSION NUMBER: 0001493152-21-022750
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210914
FILED AS OF DATE: 20210914
DATE AS OF CHANGE: 20210914
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Weiss Allen R
CENTRAL INDEX KEY: 0001534426
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40809
FILM NUMBER: 211253975
MAIL ADDRESS:
STREET 1: C/O DICK'S SPORTING GOODS, INC.
STREET 2: 345 COURT STREET
CITY: CORAOPOLIS
STATE: PA
ZIP: 15108
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: EzFill Holdings Inc
CENTRAL INDEX KEY: 0001817004
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO DEALERS & GASOLINE STATIONS [5500]
IRS NUMBER: 834260623
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2125 BISCAYNE BLVD
STREET 2: #309
CITY: MIAMI
STATE: FL
ZIP: 33137
BUSINESS PHONE: 305-791-1169
MAIL ADDRESS:
STREET 1: 2125 BISCAYNE BLVD
STREET 2: #309
CITY: MIAMI
STATE: FL
ZIP: 33137
3
1
ownership.xml
X0206
3
2021-09-14
0
0001817004
EzFill Holdings Inc
EZFL
0001534426
Weiss Allen R
C/O EZFILL HOLDINGS, INC.
2125 BISCAYNE BLVD, #309
MIAMI
FL
33137
1
0
0
0
Common Stock
13286
D
/s/ Allen Weiss
2021-09-14