Jack Levine - Nov 5, 2021 Form 4/A - Amendment Insider Report for EzFill Holdings Inc (EZFL)

Role
Director
Signature
/s/ Jack Levine
Stock symbol
EZFL
Transactions as of
Nov 5, 2021
Transactions value $
$0
Form type
4/A - Amendment
Date filed
11/16/2021, 04:46 PM
Date Of Original Report
Nov 9, 2021
Previous filing
Sep 14, 2021
Next filing
Nov 17, 2021

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction EZFL Common Stock Award $0 +20.5K +154.12% $0.00 33.8K Nov 5, 2021 Direct F1
holding EZFL Common Stock 186K Nov 5, 2021 Cameo Life Sciences Investments LLC F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 On 11/05/2021, Mr. Levine was awarded $60,000 worth of restricted common stock pursuant to the EzFill 2020 Incentive Compensation Plan, with the common stock valued at the closing price on November 4, 2021 ($2.93 per share). These restricted shares of common stock will vest at the Company's next annual shareholders' meeting only if Mr. Levine remains a member of the Company's board of directors until such meeting.
F2 Jack Levine is the Manager of Cameo Life Sciences Investments LLC and beneficially owns 186,010 shares of common stock, which are held by Cameo Life Sciences Investments, LLC.

Remarks:

This amendment is being filed to revise Item 4 of Table 1 to note that the price should be $0 as the shares were granted in connection with the Reporting Person's service as a member of the Company's board of directors.