0001493152-22-028219.txt : 20221012 0001493152-22-028219.hdr.sgml : 20221012 20221012093526 ACCESSION NUMBER: 0001493152-22-028219 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221012 FILED AS OF DATE: 20221012 DATE AS OF CHANGE: 20221012 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: 221305705 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: 1751 RIVER RUN WESTBEND STREET 2: SUITE 200 CITY: FORT WORTH STATE: TX ZIP: 76107 BUSINESS PHONE: 682-708-8250 MAIL ADDRESS: STREET 1: 1751 RIVER RUN WESTBEND STREET 2: SUITE 200 CITY: FORT WORTH STATE: TX ZIP: 76107 4 1 ownership.xml X0306 4 2022-10-12 0 0001701756 Muscle Maker, Inc. GRIL 0001728047 Southall III Alfred B. C/O MUSCLE MAKER, INC., 1751 RIVER RUN, STE 200 FORT WORTH, TX 76107 1 0 0 0 Common Stock 2022-10-12 4 A 0 9308 0.376 A 139940 D /s/ Southall III Alfred B. 2022-10-12