Kevin Brian Cox - Dec 28, 2022 Form 4 Insider Report for SurgePays, Inc. (SURG)

Role
CHIEF EXECUTIVE OFFICER, Director, 10%+ Owner
Signature
/s/ Kevin Brian Cox
Stock symbol
SURG
Transactions as of
Dec 28, 2022
Transactions value $
$0
Form type
4
Date filed
12/30/2022, 03:05 PM
Previous filing
Sep 1, 2022
Next filing
Aug 16, 2023

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction SURG Common Stock, $0.001 par value per share Conversion of derivative security $0 +1.05M +30.41% $0.00 4.5M Dec 28, 2022 Direct F1

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 SURG Series A Preferred Stock Conversion of derivative security $0 -10.5M -100% $0.00* 0 Dec 28, 2022 Common Stock 1.05M $0.00 BLC Family Investments LLC F1, F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Each ten shares of Series A Preferred Stock are convertible into one share of Common Stock of the Issuer. The Series A Preferred Stock does not have an expiration date on convertibility. The shares of Series A Preferred Stock are convertible for no additional consideration at the election of the holder.
F2 Kevin Brian Cox is the beneficial owner of BLC Family Investments LLC.