Michael D. Farkas - Dec 9, 2021 Form 4 Insider Report for EzFill Holdings Inc (EZFL)

Role
10%+ Owner
Signature
/s/ Michael D. Farkas
Stock symbol
EZFL
Transactions as of
Dec 9, 2021
Transactions value $
$0
Form type
4
Date filed
12/13/2021, 06:05 PM
Previous filing
Dec 3, 2021
Next filing
Mar 23, 2022

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction EZFL Common Stock Other +133K +1.97% 6.87M Dec 9, 2021 See Notes F1, F2, F3, F4
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The Shares of Common Stock were issued as payment pursuant to a consulting agreement, dated November 18, 2020 between the Registrant and Balance Labs Inc.
F2 Michael D. Farkas is the President of the Farkas Group, Inc. and beneficially owns 3,378,674 shares of common stock held by the Farkas Group, Inc.
F3 Michael D. Farkas is the Manager of SIF Energy LLC and beneficially owns 3,096,531 shares of common stock held by SIF Energy LLC.
F4 Michael D. Farkas is the, Chief Executive Officer of Balance Labs, Inc., a member of the board of directors of and beneficially owns the majority of the issued and outstanding shares of common stock of Balance Labs, Inc.and beneficially owns 398,633 shares of the Registrant's common stock held by Balance Labs, Inc.