0001493152-23-005646.txt : 20230221 0001493152-23-005646.hdr.sgml : 20230221 20230221160633 ACCESSION NUMBER: 0001493152-23-005646 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230210 FILED AS OF DATE: 20230221 DATE AS OF CHANGE: 20230221 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Arbour Daniel Ronald CENTRAL INDEX KEY: 0001966052 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40809 FILM NUMBER: 23648099 MAIL ADDRESS: STREET 1: 435 CHEMIN DU REFUGE CITY: LAC SUPERIEUR STATE: A8 ZIP: J0T 1P0 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 4 1 ownership.xml X0306 4 2023-02-10 0 0001817004 EzFill Holdings Inc EZFL 0001966052 Arbour Daniel Ronald C/O EZFILL HOLDINGS, INC., 2999 NE 191ST STREET AVENTURA FL 33180 1 0 0 0 Restricted Shares 2023-02-10 4 A 0 83333 0 A 83333 D The restricted shares of common stock were granted on February 10, 2023 based on a closing price of $0.48 pursuant to the EzFill Holdings, Inc. 2022 Equity Incentive Plan in conjunction with Mr. Arbour's appointment as a director. The restricted shares will vest on the date of next shareholder meeting. /s/ Daniel Arbour 2023-02-21