0001493152-23-010871.txt : 20230404
0001493152-23-010871.hdr.sgml : 20230404
20230404172018
ACCESSION NUMBER: 0001493152-23-010871
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230331
FILED AS OF DATE: 20230404
DATE AS OF CHANGE: 20230404
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: McConnell Michael Joel
CENTRAL INDEX KEY: 0001876876
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40809
FILM NUMBER: 23799464
MAIL ADDRESS:
STREET 1: 2125 BISCAYNE BLVD,
STREET 2: STE. 309
CITY: MIAMI
STATE: FL
ZIP: 33137
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
X0407
4
2023-03-31
0
0001817004
EzFill Holdings Inc
EZFL
0001876876
McConnell Michael Joel
C/O EZFILL HOLDINGS, INC.
2999 NE 191ST STREET, SUITE 500
AVENTURA
FL
33180
1
1
0
0
Chief Executive Officer
0
Vested stock option
0.29
2023-03-31
4
A
0
438596
0.00
A
2028-03-31
Common Stock
438596
606530
D
The vested stock options were granted on March 31, 2023 based on a closing price of $0.29 pursuant to the EzFill Holdings, Inc. 2022 Equity Incentive Plan and Mr. McConnell's employment agreement, which entitles him to $50,000 per quarter in stock options in lieu of salary forgone.
The number of shares was determined using the Black-Scholes model.
/s/ Michael McConnell
2023-04-04