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