0001493152-22-019390.txt : 20220715 0001493152-22-019390.hdr.sgml : 20220715 20220715083014 ACCESSION NUMBER: 0001493152-22-019390 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220714 FILED AS OF DATE: 20220715 DATE AS OF CHANGE: 20220715 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Balatsos Phillip CENTRAL INDEX KEY: 0001834850 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39223 FILM NUMBER: 221084319 MAIL ADDRESS: STREET 1: 200 MILE COMMON CITY: EASTON STATE: CT ZIP: 06612 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 2022-07-14 0 0001701756 Muscle Maker, Inc. GRIL 0001834850 Balatsos Phillip C/O MUSCLE MAKER, INC., 2600 SOUTH SHORE BLVD., SUITE 300 LEAGUE CITY, TX 77573 1 0 0 0 Common Stock 2022-07-14 4 A 0 12986 0.385 A 40092 D /s/ Balatsos Phillip 2022-07-15