0001567619-21-016182.txt : 20210820 0001567619-21-016182.hdr.sgml : 20210820 20210820164350 ACCESSION NUMBER: 0001567619-21-016182 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210820 FILED AS OF DATE: 20210820 DATE AS OF CHANGE: 20210820 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Alt Jaxie S. CENTRAL INDEX KEY: 0001709955 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38785 FILM NUMBER: 211194354 MAIL ADDRESS: STREET 1: 5301 LEGACY DRIVE CITY: PLANO STATE: TX ZIP: 75024 FORMER NAME: FORMER CONFORMED NAME: Alt Jaxi S DATE OF NAME CHANGE: 20170630 FORMER NAME: FORMER CONFORMED NAME: Alt Jaxie S Inc. DATE OF NAME CHANGE: 20170621 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: STRYVE FOODS, INC. CENTRAL INDEX KEY: 0001691936 STANDARD INDUSTRIAL CLASSIFICATION: FOOD & KINDRED PRODUCTS [2000] IRS NUMBER: 871760117 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5801 TENNYSON PARKWAY STREET 2: SUITE 275 CITY: PLANO STATE: TX ZIP: 75024 BUSINESS PHONE: 646-565-3861 MAIL ADDRESS: STREET 1: 5801 TENNYSON PARKWAY STREET 2: SUITE 275 CITY: PLANO STATE: TX ZIP: 75024 FORMER COMPANY: FORMER CONFORMED NAME: Andina Acquisition Corp. III DATE OF NAME CHANGE: 20161208 4 1 doc1.xml FORM 4 X0306 4 2021-08-20 0 0001691936 STRYVE FOODS, INC. SNAX 0001709955 Alt Jaxie S. C/O STRYVE FOODS, INC. 5801 TENNYSON PARKWAY, SUITE 275 PLANO TX 75024 1 1 0 0 Co-CEO & CMO Class A Common Stock 2021-08-20 4 P 0 5000 5.6899 A 5000 D Class V Common Stock 121078 I See Footnote Class B Units Class A Common Stock 121078 121078 I See Footnote Subject to the terms of an Exchange Agreement with Stryve Foods, Inc. ("Stryve"), a set of one Class B Unit and one share of Class V Common Stock is exchangeable for one share of Class A Common Stock of Stryve after the expiration of a lock-up applicable to such securities. The Class V Common Stock provides the holder with voting rights, but not economic rights, with respect to Stryve. All shares of Class V Common Stock and Class B Units are beneficially owned as a member of Stryve Foods Holdings, LLC. /s/ Jaxie S. Alt by John J. Wolfel, Attorney-in-Fact 2021-08-20