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