0001493152-21-027721.txt : 20211109
0001493152-21-027721.hdr.sgml : 20211109
20211109213437
ACCESSION NUMBER: 0001493152-21-027721
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211105
FILED AS OF DATE: 20211109
DATE AS OF CHANGE: 20211109
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Weiss Allen R
CENTRAL INDEX KEY: 0001534426
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40809
FILM NUMBER: 211394152
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
4
1
ownership.xml
X0306
4
2021-11-05
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
2021-11-05
4
A
0
42662
2.93
A
55948
D
On 11/05/2021, Mr. Weiss was awarded $125,000 worth of restricted common stock pursuant to the EzFill 2020 Incentive Compensation Plan, with the common stock valued at the closing price on 11/04/2021 ($2.93 per share). These restricted shares of common stock will vest at the Company's next annual shareholders' meeting only if Mr. Weiss remains a member of the Company's board of directors until such meeting.
/s/ Allen Weiss
2021-11-09