0001415889-23-008085.txt : 20230515
0001415889-23-008085.hdr.sgml : 20230515
20230515214134
ACCESSION NUMBER: 0001415889-23-008085
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230511
FILED AS OF DATE: 20230515
DATE AS OF CHANGE: 20230515
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hawkins Michelle
CENTRAL INDEX KEY: 0001968044
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41147
FILM NUMBER: 23925394
MAIL ADDRESS:
STREET 1: 1075 ATLAS PEAK RD
CITY: NAPA
STATE: CA
ZIP: 94558
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
form4-05162023_010526.xml
X0407
4
2023-05-11
0001880343
Fresh Vine Wine, Inc.
VINE
0001968044
Hawkins Michelle
1075 ATLAS PEAK RD
NAPA
CA
94558
true
false
false
false
0
Common Stock
2023-05-11
4
A
0
380952
0
A
1000295
I
By Spouse
Common Stock
20000
D
Represents a restricted stock award granted to the Reporting Person's spouse with transfer and forfeiture restrictions on the shares that lapse with respect to 95,238 shares each on of August 11, 2023, November 11, 2023, February 11, 2024 and May 11, 2024.
/s/ Michelle Hawkins
2023-05-15