0001213900-23-075040.txt : 20230907 0001213900-23-075040.hdr.sgml : 20230907 20230907165711 ACCESSION NUMBER: 0001213900-23-075040 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230905 FILED AS OF DATE: 20230907 DATE AS OF CHANGE: 20230907 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bergman Alan B. CENTRAL INDEX KEY: 0001907908 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41290 FILM NUMBER: 231242913 MAIL ADDRESS: STREET 1: C/O SMART FOR LIFE, INC. STREET 2: 990 BISCAYNE BLVD., SUITE 503 CITY: MIAMI STATE: FL ZIP: 33132 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SMART FOR LIFE, INC. CENTRAL INDEX KEY: 0001851860 STANDARD INDUSTRIAL CLASSIFICATION: MEDICINAL CHEMICALS & BOTANICAL PRODUCTS [2833] IRS NUMBER: 815360128 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 990 BISCAYNE BLVD., SUITE 503 CITY: MIAMI STATE: FL ZIP: 33132 BUSINESS PHONE: 786-749-1221 MAIL ADDRESS: STREET 1: 990 BISCAYNE BLVD., SUITE 503 CITY: MIAMI STATE: FL ZIP: 33132 FORMER COMPANY: FORMER CONFORMED NAME: Bonne Sante Group, Inc. DATE OF NAME CHANGE: 20210317 4 1 ownership.xml OWNERSHIP DOCUMENT X0508 4 2023-09-05 0 0001851860 SMART FOR LIFE, INC. SMFL 0001907908 Bergman Alan B. C/O SMART FOR LIFE INC., 990 S ROGERS CIRCLE, SUITE 3 BOCA RATON, FL 33487 0 1 0 0 Chief Financial Officer 0 Stock Option (right to buy) 1.11 2023-09-05 4 A 0 20000 0 A 2033-09-05 Common Stock 20000 20000 D Stock Option (right to buy) 0.9901 2023-09-06 4 A 0 20000 0 A 2023-09-06 2033-09-06 Common Stock 20000 20000 D The shares underlying the stock option shall vest in full on the date that the Issuer's stockholders approve Amendment No. 2 to the Smart for Life, Inc. 2022 Equity Incentive Plan, subject to the reporting person's continuous service (as defined in the Smart for Life, Inc. 2022 Equity Incentive Plan, as amended). /s/ Alan B. Bergman 2023-09-07