0001701756-23-000127.txt : 20230712 0001701756-23-000127.hdr.sgml : 20230712 20230712102023 ACCESSION NUMBER: 0001701756-23-000127 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230711 FILED AS OF DATE: 20230712 DATE AS OF CHANGE: 20230712 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: 231083456 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 wk-form4_1689171615.xml FORM 4 X0407 4 2023-07-11 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 0 Common Stock 2023-07-11 4 A 0 2940 1.19 A 149784 D Stock Options 1.505 2023-02-27 2033-02-27 Common Stock 25000 25000 D Common Stock Purchase Warrants 3 2014-01-16 2022-01-16 Common Stock 10000 10000 D The board was granted a stock option to acquire 25,000 shares of common stock vesting one twentieth of such shares on each of the twenty quarterly anniversaries of the last date of each quarter commencing March 31, 2023. /s/ Alfred B. Southall III 2023-07-12