0002015575-24-000006.txt : 20240315
0002015575-24-000006.hdr.sgml : 20240315
20240315173504
ACCESSION NUMBER: 0002015575-24-000006
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240313
FILED AS OF DATE: 20240315
DATE AS OF CHANGE: 20240315
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Pilot Davis III
CENTRAL INDEX KEY: 0001985226
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40457
FILM NUMBER: 24756183
MAIL ADDRESS:
STREET 1: 516 SOUTH DIXIE HIGHWAY, PMB 191
CITY: WEST PALM BEACH
STATE: FL
ZIP: 33401
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: PSQ Holdings, Inc.
CENTRAL INDEX KEY: 0001847064
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-ADVERTISING [7310]
ORGANIZATION NAME: 07 Trade & Services
IRS NUMBER: 862062844
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 250 S. AUSTRALIAN AVENUE
STREET 2: SUITE 1300
CITY: WEST PALM BEACH
STATE: FL
ZIP: 33401
BUSINESS PHONE: 877-776-2402
MAIL ADDRESS:
STREET 1: 250 S. AUSTRALIAN AVENUE
STREET 2: SUITE 1300
CITY: WEST PALM BEACH
STATE: FL
ZIP: 33401
FORMER COMPANY:
FORMER CONFORMED NAME: PSQ Holdings, Inc
DATE OF NAME CHANGE: 20230719
FORMER COMPANY:
FORMER CONFORMED NAME: Colombier Acquisition Corp.
DATE OF NAME CHANGE: 20210219
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0508
4
2024-03-13
0
0001847064
PSQ Holdings, Inc.
PSQH
0001985226
Pilot Davis III
C/O PSQ HOLDINGS, INC.
250 S. AUSTRALIAN AVENUE, SUITE 1300
WEST PALM BEACH
FL
33401
1
0
0
0
0
Convertible Note due March 13, 2034
4.6364
2024-03-13
4
P
0
10000000
0
A
2024-03-13
2034-03-13
Class A Common Stock, par value $0.0001 per share
2156841
10000000
I
See footnote 1
$6,000,000 of a Convertible Note due March 13, 2034 (the "Convertible Note") is held directly by Fountain Ripple IV LLC and $4,000,000 of the Convertible Note is held directly by Pilot Patriots 324 LLC. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein.
By: /s/ Michael Seifert, Attorney-in-Fact
2024-03-15