Farkas Michael D acquired 156,000 shares and bought $39,064 worth of shares (15,000 units at $2.60), increasing direct ownership by 1% to 1,341,567 units (SEC Form 4)
$EZFL
Retail-Auto Dealers and Gas Stations
Consumer Discretionary
| FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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| Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | |||||||||||||||||
| Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10. | |||||||||||||||||
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
EzFill Holdings Inc [ EZFL ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 05/16/2024 | ||||||||||||||||||||||||||
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4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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| 1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
| Code | V | Amount | (A) or (D) | Price | ||||||
| Common Stock, par value $0.0001 per share | 05/16/2024 | J | 156,000 | A | (1) | 1,326,567 | I | See Footnotes(2)(3)(4)(5) | ||
| Common Stock, par value $0.0001 per share | 05/16/2024 | P | 5,000 | A | $2.6 | 1,331,567 | D | |||
| Common Stock, par value $0.0001 per share | 05/17/2024 | P | 1,800 | A | $2.63 | 1,333,367 | D | |||
| Common Stock, par value $0.0001 per share | 05/17/2024 | P | 3,600 | A | $2.63 | 1,336,967 | D | |||
| Common Stock, par value $0.0001 per share | 05/20/2024 | P | 2,000 | A | $2.6 | 1,338,967 | D | |||
| Common Stock, par value $0.0001 per share | 05/20/2024 | P | 1,000 | A | $2.57 | 1,339,967 | D | |||
| Common Stock, par value $0.0001 per share | 05/20/2024 | P | 600 | A | $2.57 | 1,340,567 | D | |||
| Common Stock, par value $0.0001 per share | 05/20/2024 | P | 1,000 | A | $2.55 | 1,341,567 | D | |||
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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| 1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
| Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
| Explanation of Responses: |
| 1. The shares of common stock were issued as payment for commitment fees pursuant to certain promissory notes dated as of February 28, March 8, and March 15, 2024, between the Issuer and NextNRG Holding Corp. |
| 2. The Reporting Person is the President of the Farkas Group, Inc., and beneficially owns 422,335 shares of common stock held by the Farkas Group, Inc. |
| 3. The Reporting Person is the Manager of SIF Energy LLC, and beneficially owns 387,067 shares of common stock held by SIF Energy LLC. |
| 4. The Reporting Person is the Chief Executive Officer and member of the board of directors of Balance Labs, Inc., and beneficially owns 66,443 shares of common stock held by Balance Labs, Inc. |
| 5. The Reporting Person is the Chief Executive Officer and Chairman of NextNRG Holding Corp., and beneficially owns 450,722 shares of common stock held by NextNRG Holding Corp. |
| /s/ Michael D. Farkas | 05/20/2024 | |
| ** Signature of Reporting Person | Date | |
| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
| * If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
| ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
| Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
| Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. | ||