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