Richard Dery - Jan 20, 2022 Form 4 Insider Report for EzFill Holdings Inc (EZFL)

Signature
/s/ Richard Dery
Stock symbol
EZFL
Transactions as of
Jan 20, 2022
Transactions value $
$0
Form type
4
Date filed
1/24/2022, 03:30 PM
Previous filing
Sep 14, 2021

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction EZFL Common Stock Award +54.6K +29.67% 238K Jan 20, 2022 Direct F1, F2

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction EZFL Stock Option Award $0 +103K $0.00 103K Jan 20, 2022 Common Stock 103K $1.26 Direct F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 On January 20, 2022, the Reporting Person was awarded $68,750 of restricted common stock pursuant to the EzFill 2020 Incentive Compensation Plan, with the common stock valued at the closing price on January 20, 2022 ($1.26 per share). The shares vest one year from the date of the grant.
F2 Richard Dery owns 20% of Fuel Butler, LLC which owns 786,556 shares of the Issuer's common stock and as such Mr. Dery claims beneficial ownership to 157,311 shares of the Issuer's common stock held by Fuel Butler, LLC.
F3 The Options were granted pursuant to the EzFill 2020 Incentive Compensation Plan and vest 1/3 on the first anniversary of the grant, 1/3 on the second anniversary of the grant and 1/3 on the third anniversary of the grant.