Form 4 for SURG SurgePays, Inc.
Accepted 2022-12-30 00:00:00 ET · period of report 2022-12-28 · accession 0001493152-22-037135 · SEC index · Original document
Summary rows
Aggregated the way they appear in lists: one row per insider, transaction code and security table.
| X | Filed | Traded | Ticker | Insider | Title | Type | Price | Qty | Owned | ΔOwn | Value |
|---|---|---|---|---|---|---|---|---|---|---|---|
| D | 2022-12-30 | 2022-12-28 | SURG | Cox Kevin Brian | CEO, Dir, 10% | C - Cnv Deriv | $0.00 | +1.05M | 4.50M | +30% | $0 |
| DI | 2022-12-30 | 2022-12-28 | SURG | Cox Kevin Brian | CEO, Dir, 10% | C - Cnv Deriv | $0.00 | -10.50M | 0 | -100% | $0 |
Purchase Sale Sale after option exercise All abbreviations
Every reported transaction
| # | Table | Security | Date | Code | A/D | Shares | Price | Owned after | Own | Exercise / expiry | Underlying | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Common | Common Stock, $0.001 par value per share | 2022-12-28 | C | A | 1,050,000 | $0.00 | 4,502,694 | D | — | — | |
| 2 | Derivative | Series A Preferred Stock | 2022-12-28 | C | D | 10,500,000 | $0.00 | 0 | I BLC Family Investments LLC | $0.00 · 2016-05-06 to — | 1,050,000 Common Stock | (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. |