0001493152-22-002002.txt : 20220121 0001493152-22-002002.hdr.sgml : 20220121 20220121182933 ACCESSION NUMBER: 0001493152-22-002002 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220111 FILED AS OF DATE: 20220121 DATE AS OF CHANGE: 20220121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DeVoe Michael Andrew CENTRAL INDEX KEY: 0001906132 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40809 FILM NUMBER: 22547029 MAIL ADDRESS: STREET 1: 526 ORCHARD DR. CITY: NORTHVILLE STATE: MI ZIP: 48167 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: EzFill Holdings Inc CENTRAL INDEX KEY: 0001817004 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO DEALERS & GASOLINE STATIONS [5500] IRS NUMBER: 834260623 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2125 BISCAYNE BLVD STREET 2: #309 CITY: MIAMI STATE: FL ZIP: 33137 BUSINESS PHONE: 305-791-1169 MAIL ADDRESS: STREET 1: 2125 BISCAYNE BLVD STREET 2: #309 CITY: MIAMI STATE: FL ZIP: 33137 3 1 ownership.xml X0206 3 2022-01-11 0 0001817004 EzFill Holdings Inc EZFL 0001906132 DeVoe Michael Andrew 2125 BISCAYNE BLVD MIAMI FL 33137 0 1 0 0 Chief Operating Officer Common Shares 53571 D Mr. DeVoe was appointed Chief Operating Officer of the Issuer on January 11, 2022. Mr. DeVoe was granted a total of 53,571 shares of restricted common stock as a signing bonus ($75,000 value) pursuant to his "Offer Letter." These restricted shares will vest 1/2 on the first anniversary of Mr. DeVoe's employment start date and 1/2 on the second anniversary of Mr. DeVoe's employment start date. /s/ Michael Andrew DeVoe 2022-01-21