SEC FORM 3

SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person^*

Cox Kevin Brian

(Last)

(First)

(Middle)

3124 BROTHER BLVD 104

(Street)

BARTLETT

38133

(City)

(State)

(Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
07/26/2017

3. Issuer Name and Ticker or Trading Symbol
Surge Holdings, Inc. [ SURG ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	X	10% Owner
X	Officer (give title below)		Other (specify below)
	CHIEF EXECUTIVE OFFICER

5. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common stock, $0.001 par value per share	19,414,286	D
Common stock, $0.001 par value per share	4,813,885	I	EWP Communications, LLC
Common stock, $0.001 par value per share	1,800,000	I	BCAN Holdings, LLC

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
Series A Preferred	⁽¹⁾	⁽¹⁾	Common Stock	10,425,000	⁽¹⁾	D
Series A Preferred	⁽¹⁾	⁽¹⁾	Common Stock	75,000	⁽¹⁾	I	EWP Communications, LLC
Series C Preferred	⁽²⁾	⁽²⁾	Common Stock	603,364	⁽²⁾	D

Explanation of Responses:

1. Each ten shares of Series A Preferred are convertible into one share of Common Stock of the Issuer. Each share of Series A Preferred stock has ten votes per share on all matters submitted to votes of the Issuer's security holders. The Series A Preferred shares are convertible for no additional consideration at the election of the holder.

2. Each share of Series C Preferred is convertible into two hundred fifty (250) shares of Common Stock of the Issuer. Each share of Series C Preferred stock has voting rights equal to two hundred fifty (250) shares of Common Stock on all matters submitted to votes of the Issuer's security holders. The Series C Preferred shares are convertible for no additional consideration at the election of the holder.

	/s/ Kevin Brian Cox	10/09/2020
	** 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 5 (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.
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