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