0001493152-21-018738.txt : 20210805
0001493152-21-018738.hdr.sgml : 20210805
20210805163542
ACCESSION NUMBER: 0001493152-21-018738
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201211
FILED AS OF DATE: 20210805
DATE AS OF CHANGE: 20210805
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Glick Frederick L
CENTRAL INDEX KEY: 0001762396
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-56160
FILM NUMBER: 211148940
MAIL ADDRESS:
STREET 1: 7621 LITTLE AVE STE 414
CITY: CHARLOTTE
STATE: NC
ZIP: 28226
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Amergent Hospitality Group, Inc
CENTRAL INDEX KEY: 0001805024
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING & DRINKING PLACES [5810]
IRS NUMBER: 844842958
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: POST OFFICE BOX 470695
CITY: CHARLOTTE
STATE: NC
ZIP: 28247
BUSINESS PHONE: 704-366-5122
MAIL ADDRESS:
STREET 1: POST OFFICE BOX 470695
CITY: CHARLOTTE
STATE: NC
ZIP: 28247
4
1
ownership.xml
X0306
4
2020-12-11
0
0001805024
Amergent Hospitality Group, Inc
AMHG
0001762396
Glick Frederick L
7621 LITTLE AVENUE SUITE 414
CHARLOTTE,
NC
28226
1
1
0
0
President
Common Stock
2021-08-02
4
P
0
50000
0.47
A
80000
D
Stock Option(nonstatutory)
2.50
2021-08-02
4
A
0
150000
A
2021-08-02
2026-08-02
Common stock
150000
150000
D
Stock Option(nonstatutory)
2021-08-02
4
A
0
300000
A
2026-08-02
Common Stock
300000
300000
D
Nonqualified option to purchase an aggregate of 300,000 shares of common stock of the Company, $0.0001 par value (shares of common stock of the Company referred to herein as "Shares"), 100,000 of which are exercisable at $0.56 per Share, 100,000 of which are exercisable at $0.81 per Share, and 100,000 of which are exercisable at $1.08 per Share.
Vest in twelve equal installments, the first installment vesting August 2, 2021, and the remaining installments vesting on each of October 1, 2021, January 1,2022, April 1, 2022, July 1, 2022, October 1, 2022, January 1, 2023, April 1, 2023, July 1, 2023, October 1, 2023, January 1, 2024, and April 1, 2024. These option awards further vest based on exercise price, with lower priced options vesting first and are subject to the
terms and conditions of the 2021 Inducement Plan (the "Plan") and the terms and conditions of that certain Employment Agreement effective July 1, 2021, by and between the Optionee and the Company.
Grant pursuant to 2021 Inducement Plan, as amended.
/s/ Frederick L Glick
2021-08-05