0001493152-24-016570.txt : 20240426 0001493152-24-016570.hdr.sgml : 20240426 20240426163051 ACCESSION NUMBER: 0001493152-24-016570 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240425 FILED AS OF DATE: 20240426 DATE AS OF CHANGE: 20240426 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KEYS DAVID N CENTRAL INDEX KEY: 0001267667 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40992 FILM NUMBER: 24884375 MAIL ADDRESS: STREET 1: 3770 HOWARD HUGHES PARKWAY STREET 2: STE 300 CITY: LAS VEGAS STATE: NV ZIP: 89109 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SurgePays, Inc. CENTRAL INDEX KEY: 0001392694 STANDARD INDUSTRIAL CLASSIFICATION: TELEPHONE COMMUNICATIONS (NO RADIO TELEPHONE) [4813] ORGANIZATION NAME: 06 Technology IRS NUMBER: 980550352 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3124 BROTHER BLVD STREET 2: SUITE 104 CITY: BARTLETT STATE: TN ZIP: 38133 BUSINESS PHONE: 901-302-9587 MAIL ADDRESS: STREET 1: 3124 BROTHER BLVD STREET 2: SUITE 104 CITY: BARTLETT STATE: TN ZIP: 38133 FORMER COMPANY: FORMER CONFORMED NAME: Surge Holdings, Inc. DATE OF NAME CHANGE: 20180102 FORMER COMPANY: FORMER CONFORMED NAME: KSIX Media Holdings, Inc. DATE OF NAME CHANGE: 20150728 FORMER COMPANY: FORMER CONFORMED NAME: North American Energy Resources, Inc. DATE OF NAME CHANGE: 20150528 4 1 ownership.xml X0508 4 2024-04-25 0 0001392694 SurgePays, Inc. SURG 0001267667 KEYS DAVID N 3124 BROTHER BLVD, SUITE 410 BARLETT TN 38133 1 0 0 0 0 Restricted Shares (Common Stock) 2024-04-25 4 A 0 14880 0 A 31923 D These shares were issued pursuant to the provisions of the SurgePays, Inc. 2022 Omnibus Securities and Incentive Plan (the "2022 Plan") and a Restricted Share Award Agreement, dated April 25, 2024, by and between SurgePays, Inc. (the "Company") and Mr. Keys (the "RSA Agreement"). The RSA Agreement provides that the shares will not vest until the earliest to occur of (a) the director no longer serves as a director of the Company for any reason (including, but not limited to, upon death or disability that renders the director incapable of providing services to the Company) other than a Termination of Service for Cause (as defined in the RSA Agreement); (b) upon the occurrence of a Change in Control (as defined in the 2022 Plan); or (c) the fourth anniversary of the award date. Includes (i) 1,666 shares held in an IRA owned by Mr. Keys' wife, however, Mr. Keys shares investing and dipositive power over these holdings, (ii) 5,377 shares in total held by two different IRAs owned by Mr. Keys; and (iii) 10,000 shares are held by PCC Holdings LLC. Mr. Keys shares investing and dipositive power over these holdings. /s/ David N. Keys 2024-04-25