SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Markovits Joel

(Last) (First) (Middle)
C/O RELIANCE GLOBAL GROUP, INC.
300 BLVD. OF THE AMERICAS, SUITE 105

(Street)
LAKEWOOD NJ 08701

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Reliance Global Group, Inc. [ RELI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Financial Officer
3. Date of Earliest Transaction (Month/Day/Year)
01/02/2024
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 01/02/2024 A(1) 2,666(2) A $0 69,360(2) D
Common Stock 01/10/2024 F(3) 109(2) D $0.5199(2) 69,251(2) D
Common Stock 02/02/2024 F(4) 122(2) D $0.4596(2) 69,129(2) D
Common Stock 03/06/2024 F(4) 121(2) D $0.48(2) 69,008(2) D
Common Stock 04/11/2024 F(4) 131(2) D $0.349(2) 68,877(2) D
Common Stock 05/21/2024 F(4) 156(2) D $0.257(2) 68,721(2) D
Common Stock 06/07/2024 F(4) 149(2) D $0.264(2) 68,572(2) D
Common Stock 06/17/2024 A(1) 185,000(2) A $0 253,572(2) D
Common Stock 06/17/2024 F(5) 41,869(2) D $0.5735(2) 211,703(2) D
Common Stock 06/18/2024 S 27,000(2) D $0.7028(2) 184,338(6) D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. Represents the grant of shares of common stock approved by the compensation committee, comprised solely of independent directors, of the issuer's board of directors and issued in accordance with Rule 16b-3 promulgated under the Securities Exchange Act of 1934, as amended (the "Exchange Act").
2. Share and dollar amounts do not reflect the issuer's 1-for-17 reverse stock split that was effectuated on July 1, 2024 (the "Reverse Split").
3. Represents the payment of tax liability by delivering securities incident to the receipt of a previously reported stock grant, which was issued in accordance with Rule 16b-3. This transaction is exempt from Section 16(b) of the Exchange Act.
4. Represents the payment of tax liability by delivering securities incident to the receipt of the January 2, 2024 grant of 2,666 shares of common stock reported on this Form 4, which was issued in accordance with Rule 16b-3. This transaction is exempt from Section 16(b) of the Exchange Act.
5. Represents the payment of tax liability by delivering securities incident to the receipt of the June 17, 2024 grant of 185,000 shares of common stock reported on this Form 4, which was issued in accordance with Rule 16b-3. This transaction is exempt from Section 16(b) of the Exchange Act.
6. The number of shares beneficially owned by the reporting person has been updated to account for certain prior rounding issues. After giving effect to the Reverse Split, the reporting person beneficially owned 10,844 shares of the issuer's common stock following the transactions reported on this Form 4.
/s/ Joel Markovits 07/16/2024
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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