0001493152-23-041696.txt : 20231116 0001493152-23-041696.hdr.sgml : 20231116 20231116165330 ACCESSION NUMBER: 0001493152-23-041696 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230804 FILED AS OF DATE: 20231116 DATE AS OF CHANGE: 20231116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Leibler Jack CENTRAL INDEX KEY: 0001999554 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40809 FILM NUMBER: 231415291 MAIL ADDRESS: STREET 1: 68-41 JUNO STREET CITY: FOREST HILLS STATE: NY ZIP: 11375 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: 67 NW 183RD ST CITY: MIAMI STATE: FL ZIP: 33169 BUSINESS PHONE: 305-791-1169 MAIL ADDRESS: STREET 1: 67 NW 183RD ST CITY: MIAMI STATE: FL ZIP: 33169 3 1 ownership.xml X0206 3 2023-08-04 1 0001817004 EzFill Holdings Inc EZFL 0001999554 Leibler Jack C/O EZFILL HOLDINGS, INC., 67 NW 183RD STREET MIAMI FL 33169 1 0 0 0 Filed to indicate Mr. Leibler's appointment as a director of EzFill Holdings, Inc. effective as of August 4, 2023. /s/ Jack Leibler 2023-11-16