Jack Levine - 02 Jun 2023 Form 4 Insider Report for EzFill Holdings Inc (NXXT)

Source evidence Original filing metadata and source links for verification. 5 source fields
SEC form
4
Accepted by SEC
06 Jun 2023, 16:15:04 UTC
Prior SEC filing
29 Dec 2022
Next SEC filing
27 Jun 2023
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/ Jack Levine

Key filing fact

Jack Levine filed Form 4 for EzFill Holdings Inc (NXXT) on 06 Jun 2023.

Key facts

  • This page summarizes Jack Levine's Form 4 filing for EzFill Holdings Inc (NXXT).
  • 1 reported transaction and 0 derivative rows are listed below.
  • Accepted by SEC: 06 Jun 2023, 16:15.

Change

  • Previous filing in this sequence was filed on 29 Dec 2022.
  • Current net transaction value: $0.

Research use

  • This tells you what this filing adds before you inspect full transaction and derivative tables.
  • You can trace every row back to the original SEC filing document.

Evidence

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reported non-derivative transactions

Shares, units, or other non-derivative securities reported in this filing.

EZFL transaction

Common Stock

Award

Transaction value
$0
Shares
+58,824
Change %
+110%
Price
$0.000000
Shares after
112,262
Date
02 Jun 2023
Ownership
Direct
Footnotes
F1, F2, F3
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 3 footnotes

Footnote F1

The shares will fully vest in 12 months from the grant date. Should the Reporting Person leave the Issuer's board of directors prior to vesting, the Reporting Person will be awarded a grant on a pro rata basis based on the time spent as a member of the board of directors. The number of shares is based on $130,000 per the Issuer's director compensation agreement with the Reporting Person and the closing price $2.21 on June 2, 2023.

Footnote F2

The Reporting Person holds 23,252 shares of Common Stock through an entity Cameo Life Sciences Investments, LLC. The number of shares reflects a one-for-eight reverse split effective on April 27, 2023.

Footnote F3

Granted pursuant to the EzFill Holdings, Inc. 2023 Equity Incentive Plan.

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