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