0001567619-22-019008.txt : 20221101
0001567619-22-019008.hdr.sgml : 20221101
20221101162016
ACCESSION NUMBER: 0001567619-22-019008
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221028
FILED AS OF DATE: 20221101
DATE AS OF CHANGE: 20221101
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Vivian Kevin
CENTRAL INDEX KEY: 0001858515
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38785
FILM NUMBER: 221350505
MAIL ADDRESS:
STREET 1: 5801 TENNYSON PKWY SUITE 275
CITY: PLANO
STATE: TX
ZIP: 75024
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: STRYVE FOODS, INC.
CENTRAL INDEX KEY: 0001691936
STANDARD INDUSTRIAL CLASSIFICATION: FOOD & KINDRED PRODUCTS [2000]
IRS NUMBER: 871760117
STATE OF INCORPORATION: DE
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
2022-10-28
0
0001691936
STRYVE FOODS, INC.
SNAX
0001858515
Vivian Kevin
C/O STRYVE FOODS, INC.
5801 TENNYSON PARKWAY, SUITE 275
PLANO
TX
75024
1
0
0
0
Class A Common Stock
2022-10-28
4
A
0
26650
0
A
38150
D
Class V Common Stock
87181
D
Class B Units
0
Class A Common Stock
87181
87181
D
Represents director's fees paid in restricted stock from the Issuer's Omnibus Incentive Plan.
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.
/s/ Kevin Vivian by John J. Wolfel, Attorney-in-Fact
2022-11-01