0001493152-21-007668.txt : 20210401 0001493152-21-007668.hdr.sgml : 20210401 20210401114258 ACCESSION NUMBER: 0001493152-21-007668 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210211 FILED AS OF DATE: 20210401 DATE AS OF CHANGE: 20210401 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: 21796845 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: 2600 SOUTH SHORE BLVD. STREET 2: SUITE 300 CITY: LEAGUE CITY STATE: TX ZIP: 77573 BUSINESS PHONE: 682-708-8250 MAIL ADDRESS: STREET 1: 2600 SOUTH SHORE BLVD. STREET 2: SUITE 300 CITY: LEAGUE CITY STATE: TX ZIP: 77573 4 1 ownership.xml X0306 4 2021-02-11 0 0001701756 Muscle Maker, Inc. GRIL 0001738820 Mohan Kevin James C/O MUSCLE MAKER, INC., 2600 SOUTH SHORE BLVD., SUITE 300 LEAGUE CITY, TX 77573 0 1 0 0 Chief Investment Officer Common Stock 2021-02-11 4 A 0 64285 2.87 A 130963 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 3.5 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 /s/ Kevin J Mohan 2021-04-01