0001179110-21-011214.txt : 20211222 0001179110-21-011214.hdr.sgml : 20211222 20211222205958 ACCESSION NUMBER: 0001179110-21-011214 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211220 FILED AS OF DATE: 20211222 DATE AS OF CHANGE: 20211222 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Novak Damian CENTRAL INDEX KEY: 0001898426 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41147 FILM NUMBER: 211514583 MAIL ADDRESS: STREET 1: 505 HIGHWAY 169 NORTH STREET 2: SUITE 255 CITY: PLYMOUTH STATE: MN ZIP: 55441 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Fresh Vine Wine, Inc. CENTRAL INDEX KEY: 0001880343 STANDARD INDUSTRIAL CLASSIFICATION: BEVERAGES [2080] IRS NUMBER: 834709895 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 505 HIGHWAY 169 NORTH, SUITE 255 CITY: PLYMOUTH STATE: MN ZIP: 55441 BUSINESS PHONE: 855-766-9463 MAIL ADDRESS: STREET 1: 505 HIGHWAY 169 NORTH, SUITE 255 CITY: PLYMOUTH STATE: MN ZIP: 55441 FORMER COMPANY: FORMER CONFORMED NAME: FRESH GRAPES, LLC DATE OF NAME CHANGE: 20210826 4 1 edgar.xml FORM 4 - X0306 4 2021-12-20 0 0001880343 Fresh Vine Wine, Inc. VINE 0001898426 Novak Damian 505 HIGHWAY 169 NORTH SUITE 255 PLYMOUTH MN 55441 1 0 1 1 Executive Chairman Common Stock, $.001 par value 2021-12-20 4 P 0 10700 5.6537 A 10700 D Common Stock, $.001 par value 2021-12-21 4 P 0 8500 5.6565 A 19200 D Common Stock, $.001 par value 2021-12-22 4 P 0 6000 5.0435 A 25200 D Common Stock, $.001 par value 5317653 I By Nechio & Novak, LLC The price reported in column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $5.50 to $5.899 inclusive. The reporting person undertakes to provide to the Issuer, any security holder of the Issuer or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price within the ranges set forth. The price reported in column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $5.515 to $6.30, inclusive. The reporting person undertakes to provide to the Issuer, any security holder of the Issuer or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price within the ranges set forth. The price reported in column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $5.01 to $5.10, inclusive. The reporting person undertakes to provide to the Issuer, any security holder of the Issuer or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price within the ranges set forth. A Texas limited liability company of which the reporting person is a co-founder. The reporting person shares voting and dispositive power over the shares of common stock of the Issuer held by Nechio & Novak, LLC. The reporting person disclaims beneficial ownership over the shares of the Issuer's common stock held by Nechio & Novak, LLC except to the extent of his pecuniary interest in such shares. Exhibit 24.1 Power of Attorney filed with Form 3 on December 13, 2021 and incorporated herein by reference. /s/ Elliot Savoie, as Attorney-in-Fact 2021-12-22