0001415889-23-006891.txt : 20230426 0001415889-23-006891.hdr.sgml : 20230426 20230426144341 ACCESSION NUMBER: 0001415889-23-006891 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230425 FILED AS OF DATE: 20230426 DATE AS OF CHANGE: 20230426 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cockroft Roger C. CENTRAL INDEX KEY: 0001974860 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41147 FILM NUMBER: 23849029 MAIL ADDRESS: STREET 1: 11500 WAYZATA BLVD., SUITE 1147 CITY: MINNETONKA STATE: MN ZIP: 55305 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: 11500 WAYZATA BLVD. #1147 CITY: MINNETONKA STATE: MN ZIP: 55305 BUSINESS PHONE: 855-766-9463 MAIL ADDRESS: STREET 1: 11500 WAYZATA BLVD. #1147 CITY: MINNETONKA STATE: MN ZIP: 55305 FORMER COMPANY: FORMER CONFORMED NAME: FRESH GRAPES, LLC DATE OF NAME CHANGE: 20210826 4 1 form4-04262023_060434.xml X0407 4 2023-04-25 0001880343 Fresh Vine Wine, Inc. VINE 0001974860 Cockroft Roger C. 11500 WAYZATA BLVD. #1147 MINNETONKA MN 55305 false true false false CHIEF EXECUTIVE OFFICER 0 Common Stock 2023-04-25 4 A 0 463917 0 A 468282 D Stock Options 1 2023-04-25 4 A 0 1000000 0 A 2028-04-25 Common Stock 1000000 1000000 D Represents a restricted stock grant with transfer and forfeiture restrictions on the shares that lapse as follows: 115,980 shares on July 25, 2023, 115,979 shares on October 25, 2023, 115,979 shares on January 25, 2024 and 115,979 shares on April 25, 2024. Represents an option grant with options vesting as follows: 250,000 options on April 25, 2024, and, thereafter, in 36 monthly installments as nearly equal in amount as possible (approximately 20,883 options) commencing on the 13th month anniversary of the grant date reported on this Form 4 and continuing on each one month anniversary thereafter. /s/ Roger C. Cockroft 2023-04-26