Michael D. Farkas - Aug 16, 2024 Form 4/A - Amendment Insider Report for EzFill Holdings Inc (EZFL)

Role
10%+ Owner
Signature
/s/ Michael D. Farkas
Stock symbol
EZFL
Transactions as of
Aug 16, 2024
Transactions value $
$11,200,448
Form type
4/A - Amendment
Date filed
8/29/2024, 05:06 PM
Date Of Original Report
Aug 20, 2024
Previous filing
Jun 7, 2024

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction EZFL Common Stock, par value $0.0001 per share Other $9.8M +3.53M +652.08% $2.78 4.07M Aug 16, 2024 NextNRG Holding Corp. F1, F2, F3

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 Series B Convertible Preferred Stock Purchase $1.4M +140K $10.00* 140K Aug 16, 2024 Common Stock 725K $1.93 NextNRG Holding Corp. F2, F4, F5
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 On August 16, 2024, NextNRG Holding Corp. ("NextNRG") exchanged promissory notes previously issued by the Issuer to NextNRG in the aggregate principal amount of $9,800,449 for 3,525,341 shares of the Issuer's common stock pursuant to an Exchange Agreement entered into between NextNRG and the Issuer dated August 16, 2024.
F2 NextNRG is an entity controlled by the reporting person, and the reported securities may be deemed to be indirectly beneficially owned by the reporting person. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that such person is the beneficial owner of the securities for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose.
F3 The Form 4 filed by the Reporting Person on August 20, 2024 is hereby amended to reflect a change in the number of shares of the Issuer's common stock held by the Reporting Person prior to August 20, 2024 from 1,351,567 to 540,627 as a result of a 1 for 2.5 reverse stock split effective as of July 25, 2024.
F4 Shares are convertible following approval of the Issuer's stockholders of the issuance of the common stock issuable upon conversion of the preferred stock and the approval of Nasdaq or other securities exchange where the common stock is listed for public trading.
F5 The number of shares is subject to proportional adjustment in the event of a stock split, stock dividend, stock combination, recapitalization or other similar transaction.