0001493152-21-020612.txt : 20210818 0001493152-21-020612.hdr.sgml : 20210818 20210818191942 ACCESSION NUMBER: 0001493152-21-020612 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210816 FILED AS OF DATE: 20210818 DATE AS OF CHANGE: 20210818 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Miller Richard A CENTRAL INDEX KEY: 0001534743 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39569 FILM NUMBER: 211187957 MAIL ADDRESS: STREET 1: 1500 GATEWAY BLVD, SUITE 220 CITY: BOYNTON BEACH STATE: FL ZIP: 33426 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Jupiter Wellness, Inc. CENTRAL INDEX KEY: 0001760903 STANDARD INDUSTRIAL CLASSIFICATION: PERFUMES, COSMETICS & OTHER TOILET PREPARATIONS [2844] IRS NUMBER: 832455880 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 725 N. HWY A1A STREET 2: SUITE C-106 CITY: JUPITER STATE: FL ZIP: 33458 BUSINESS PHONE: 561-325-0482 MAIL ADDRESS: STREET 1: 725 N. HWY A1A STREET 2: SUITE C-106 CITY: JUPITER STATE: FL ZIP: 33458 FORMER COMPANY: FORMER CONFORMED NAME: CBD Brands, Inc. DATE OF NAME CHANGE: 20181206 4 1 ownership.xml X0306 4 2021-08-16 0 0001760903 Jupiter Wellness, Inc. JUPW 0001534743 Miller Richard A C/O JUPITER WELLNESS, INC 1061 E. INDIANTOWN ROAD, SUITE 110 JUPITER FL 33477 1 1 0 0 CCO, Director Common Stock 2021-08-16 4 A 0 9416 0 A 986316 D Stock Option 1.77 2021-08-16 4 A 0 155444 0 A 2021-08-16 2026-08-16 Common Stock 155444 1141760 D The shares of common stock were awarded pursuant to a board resolution dated August 16, 2021 and the 2020 Incentive Equity Plan as a form of compensation. The options were issued pursuant to a board resolution dated August 16, 2021 under the 2020 Incentive Equity Plan. /s/ Richard Miller 2021-08-18