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*
Schur Jordan

(Last) (First) (Middle)
C/O SAFETY SHOT, INC.
1061 E. INDIANTOWN ROAD, SUITE 110

(Street)
JUPITER FL 33477

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/13/2024
3. Issuer Name and Ticker or Trading Symbol
Safety Shot, Inc. [ SHOT ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
President
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 1,124,989(1) I By Core 4 Capital Corp
Common Stock 2,369,668(2) I By Core 4 Capital Corp.
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)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (3) (3) Common Stock 1,000,000 $1.96(3) D
Explanation of Responses:
1. The shares of common stock were bought in the open market by Core 4 Capital Corp ("Core"), a company controlled by the Reporting Person's father between March 14, 2024 and March 19, 2024, at a per share purchase price ranging between $2.083 to $2.735. The shares were bought by his father in the name of Core of which the Reporting person owns a 15% equity interest. The Reporting Person disclaims ownership of all but 15% of the shares owned by Core in accordance with his ownership percentage of Core.
2. The shares of common stock were issued to Core under a securities purchase agreement dated April 4, 2024, entered into by and between the Issuer and Core. The Reporting Person owns 15% equity interest in Core. The Reporting Person disclaims ownership of all but 15% of the shares owned by Core in accordance with his ownership percentage of Core.
3. The option to purchase 1,000,000 shares of common stock, with an exercise price of $1.96, the closing price as of March 7, 2024, and vesting quarterly.
/s/ Jordan Schur 04/10/2024
** 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 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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