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