0001493152-22-000637.txt : 20220107
0001493152-22-000637.hdr.sgml : 20220107
20220107102626
ACCESSION NUMBER: 0001493152-22-000637
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220106
FILED AS OF DATE: 20220107
DATE AS OF CHANGE: 20220107
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Southall III Alfred B.
CENTRAL INDEX KEY: 0001728047
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39223
FILM NUMBER: 22516855
MAIL ADDRESS:
STREET 1: 61 EASTMORELAND DRIVE
CITY: HAMPTON
STATE: VA
ZIP: 23669
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: NV
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
2022-01-06
0
0001701756
Muscle Maker, Inc.
GRIL
0001728047
Southall III Alfred B.
C/O MUSCLE MAKER, INC., 2600
SOUTH SHORE BLVD., SUITE 300
LEAGUE CITY,
TX
77573
1
0
0
0
Common Stock
2022-01-06
4
A
0
4860
0.72
A
114915
D
Common Stock Purchase Warrants
3.00
2019-01-16
2022-01-16
Common Stock
10000
10000
D
/s/ Southall III Alfred B.
2022-01-07