0001701756-23-000131.txt : 20230712 0001701756-23-000131.hdr.sgml : 20230712 20230712102251 ACCESSION NUMBER: 0001701756-23-000131 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230711 FILED AS OF DATE: 20230712 DATE AS OF CHANGE: 20230712 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sansom Paul CENTRAL INDEX KEY: 0001313850 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39223 FILM NUMBER: 231083463 MAIL ADDRESS: STREET 1: C/O BRIGHTPOINT, INC. STREET 2: 7635 INTERACTIVE WAY, SUITE 200 CITY: INDIANAPOLIS STATE: IN ZIP: 46278 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Muscle Maker, Inc. CENTRAL INDEX KEY: 0001701756 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING & DRINKING PLACES [5810] IRS NUMBER: 472555533 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1751 RIVER RUN WESTBEND STREET 2: SUITE 200 CITY: FORT WORTH STATE: TX ZIP: 76107 BUSINESS PHONE: 682-708-8250 MAIL ADDRESS: STREET 1: 1751 RIVER RUN WESTBEND STREET 2: SUITE 200 CITY: FORT WORTH STATE: TX ZIP: 76107 4 1 wk-form4_1689171762.xml FORM 4 X0407 4 2023-07-11 0 0001701756 Muscle Maker, Inc. GRIL 0001313850 Sansom Paul C/O MUSCLE MAKER, INC., 1751 RIVER RUN, STE 200 FORT WORTH TX 76107 1 0 0 0 0 Common Stock 2023-07-11 4 A 0 1513 1.19 A 1513 D /s/ Paul Sansom 2023-07-12