0001493152-24-025510.txt : 20240628 0001493152-24-025510.hdr.sgml : 20240628 20240628060637 ACCESSION NUMBER: 0001493152-24-025510 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220916 FILED AS OF DATE: 20240628 DATE AS OF CHANGE: 20240628 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Beyman Ezra CENTRAL INDEX KEY: 0001886817 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-40020 FILM NUMBER: 241081205 MAIL ADDRESS: STREET 1: 300 BLVD OF THE AMERICAS STREET 2: SUITE 105 CITY: LAKEWOOD STATE: NJ ZIP: 08701 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Reliance Global Group, Inc. CENTRAL INDEX KEY: 0001812727 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411] ORGANIZATION NAME: 02 Finance IRS NUMBER: 463390293 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 300 BOULEVARD OF THE AMERICAS, STREET 2: SUITE 105 CITY: LAKEWOOD STATE: NJ ZIP: 08701 BUSINESS PHONE: 732-780-4647 MAIL ADDRESS: STREET 1: 300 BOULEVARD OF THE AMERICAS, STREET 2: SUITE 105 CITY: LAKEWOOD STATE: NJ ZIP: 08701 4/A 1 ownership.xml X0508 4/A 2022-09-16 2024-05-30 0 0001812727 Reliance Global Group, Inc. RELI 0001886817 Beyman Ezra C/O RELIANCE GLOBAL GROUP, INC. 300 BLVD. OF THE AMERICAS, SUITE 105 LAKEWOOD NJ 08701 1 1 0 0 Chairman and CEO 0 Common Stock 2023-12-27 4 A 0 168000 0 A 206268 D Common Stock 2023-12-27 4 F 0 88382 0.46 D 117886 D Common Stock 2024-05-30 4 P 0 186000 0.27 A 303886 D Common Stock 2022-09-16 4 G 0 3667 0 D 289390 I By Reliance Global Holdings, LLC Common Stock 2023-04-23 4 J 0 289277 0 D 113 I By Reliance Global Holdings, LLC Common Stock 2023-02-13 4 J 0 66743 0.6443 A 66743 I By YES Americana Group, LLC Common Stock 2023-04-23 4 J 0 289277 0 A 356021 I By YES Americana Group, LLC Common Stock 2023-06-28 4 G 0 15000 0 D 341021 I By YES Americana Group, LLC Common Stock 2023-12-11 4 G 0 15000 0 D 326021 I By YES Americana Group, LLC Common Stock 2023-12-11 4 G 0 15000 0 D 311021 I By YES Americana Group, LLC Common Stock 2023-12-11 4 G 0 6000 0 D 305021 I By YES Americana Group, LLC Common Stock 2023-12-14 4 G 0 39000 0 D 266021 I By YES Americana Group, LLC Common Stock 2023-12-14 4 G 0 3000 0 D 263021 I By YES Americana Group, LLC Common Stock 0.6443 2023-02-07 4 J 0 190917 0 A 2023-02-07 Common Stock 190917 190917 I By YES Americana Group, LLC Common Stock 0.6443 2023-02-13 4 C 0 66743 0 A 2023-02-07 Common Stock 66743 0 I By YES Americana Group, LLC Represents the grant of shares of common stock approved by the compensation committee, comprised solely of independent directors, of the issuer's board of directors and issued in accordance with Rule 16b-3 promulgated under the Securities Exchange Act of 1934, as amended (the "Exchange Act"). All share amounts and conversion prices reported on this Form 4 have been adjusted to give effect to the February 23, 2023 1-for-15 reverse stock split of the issuer's common stock. Represents the payment of tax liability by delivering securities incident to the receipt of the December 27, 2023 grant of 168,000 shares of common stock reported on this Form 4, which was issued in accordance with Rule 16b-3. This transaction is exempt from Section 16(b) of the Exchange Act. Bona fide gift. Reliance Global Holdings, LLC ("Holdings") is an entity controlled by Ezra Beyman and his spouse. Represents the transfer of shares of common stock from Holdings to YES Americana Group, LLC ("YES Americana"). Represents the acquisition of shares of the issuer's common stock upon partial conversion of the Note (as hereinafter defined). YES Americana is an entity controlled by Mr. Beyman's spouse. Represents the acquisition by YES Americana of the right to acquire shares of the issuer's common stock upon conversion of a promissory note, as amended, issued by the issuer in favor of YES Americana (the "Note"). The Note can be converted so long as any amount thereunder is outstanding. On February 13, 2024, YES Americana effectuated a partial conversion of the Note into an aggregate of 66,743 shares of the issuer's common stock. Immediately following the partial conversion of the Note on February 13, 2024, YES Americana had the right to acquire 124,174 shares of the issuer's common stock upon conversion of the remaining amounts due under the Note. Subsequently, the issuer paid the remaining amounts due under the Note, such that no shares were issuable under the Note. /s/ Ezra Beyman 2024-06-28