0001493152-20-017382.txt : 20200908 0001493152-20-017382.hdr.sgml : 20200908 20200908110203 ACCESSION NUMBER: 0001493152-20-017382 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200724 FILED AS OF DATE: 20200908 DATE AS OF CHANGE: 20200908 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mohan Kevin James CENTRAL INDEX KEY: 0001738820 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39223 FILM NUMBER: 201163339 MAIL ADDRESS: STREET 1: 308 E RENFRO ST CITY: BURLESON STATE: TX ZIP: 76028 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Muscle Maker, Inc. CENTRAL INDEX KEY: 0001701756 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING & DRINKING PLACES [5810] IRS NUMBER: 472555533 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 308 E. RENFRO STREET STREET 2: SUITE 101 CITY: BURLESON STATE: TX ZIP: 76028 BUSINESS PHONE: 682-708-8250 MAIL ADDRESS: STREET 1: 308 E. RENFRO STREET STREET 2: SUITE 101 CITY: BURLESON STATE: TX ZIP: 76028 4 1 ownership.xml X0306 4 2020-07-24 0 0001701756 Muscle Maker, Inc. GRIL 0001738820 Mohan Kevin James C/O MUSCLE MAKER, INC., 308 EAST RENFRO STREET, SUITE 101 BURLESON TX 76028 1 1 0 0 Chief Investment Officer Common Stock 2020-07-24 4 J 0 64285 0 D 66678 D Common Stock 3482 I Owned by Marla Mohan, Kevin Mohan's wife. Common Stock 696 I Owned by Connor Mohan, Kevin Mohan's minor child. Common Stock 696 I Owned by Kyla Mohan, Kevin Mohan's minor child. Common Stock 696 I Owned by Roan Mohan, Kevin Mohan's minor child. Common Stock Purchase Warrant 3.50 2017-05-31 2020-05-31 Common Stock 14286 14286 D Common Stock Purchase Warrant 65.31 2017-05-31 2020-05-31 Common Stock 383 383 D The reporting person voluntarily returned the above shares of common stock to the company for cancellation /s/ Kevin Mohan 2020-09-08