0001980189-23-000002.txt : 20230621 0001980189-23-000002.hdr.sgml : 20230621 20230621170437 ACCESSION NUMBER: 0001980189-23-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230616 FILED AS OF DATE: 20230621 DATE AS OF CHANGE: 20230621 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Healy Eric CENTRAL INDEX KEY: 0001980189 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41723 FILM NUMBER: 231030710 MAIL ADDRESS: STREET 1: 205 SE DAVIS AVE STREET 2: SUITE C CITY: BEND STATE: OR ZIP: 97702 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BranchOut Food Inc. CENTRAL INDEX KEY: 0001962481 STANDARD INDUSTRIAL CLASSIFICATION: FOOD & KINDRED PRODUCTS [2000] IRS NUMBER: 873980472 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 205 SE DAVIS AVENUE, STREET 2: SUITE C CITY: BEND STATE: OR ZIP: 97702 BUSINESS PHONE: 844-263-6637 MAIL ADDRESS: STREET 1: 205 SE DAVIS AVENUE, STREET 2: SUITE C CITY: BEND STATE: OR ZIP: 97702 4 1 primary_doc.xml PRIMARY DOCUMENT X0407 4 2023-06-16 0 0001962481 BranchOut Food Inc. BOF 0001980189 Healy Eric 205 SE DAVIS AVE SUITE C BEND OR 97702 1 1 1 0 CEO 0 Common Stock 2023-06-16 4 P 0 2000 5 A 750083 D All share amounts reflect a 2.5:1 reverse stock split effective June 16, 2023. /s/ Eric Healy 2023-06-21