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