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