0001493152-24-017718.txt : 20240503 0001493152-24-017718.hdr.sgml : 20240503 20240503163058 ACCESSION NUMBER: 0001493152-24-017718 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240501 FILED AS OF DATE: 20240503 DATE AS OF CHANGE: 20240503 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cox Kevin Brian CENTRAL INDEX KEY: 0001784994 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40992 FILM NUMBER: 24913703 MAIL ADDRESS: STREET 1: 3124 BROTHER BLVD STREET 2: STE. 104 CITY: BARTLETT STATE: W6 ZIP: 38133 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 2024-05-01 0 0001392694 SurgePays, Inc. SURG 0001784994 Cox Kevin Brian 3124 BROTHER BLVD, SUITE 410 BARLETT TN 38133 1 1 0 0 CEO and Chairman 0 Restricted Shares (Common Stock) 2024-05-01 4 A 0 83334 0 A 5537094 D Each year of the Initial Term or any Renewal Term thereafter for a minimum of five (5) years, the Company shall grant Executive 500,000 (Five Hundred Thousand) Restricted Shares ("RSAs" and each grant, an "RSA Grant") pursuant to the SurgePays, Inc. 2022 Omnibus Securities and Incentive Plan (the "Plan"). The RSA Grants shall be fully vested on each grant date, in each case subject to Executive's continued employment with the Company through the applicable grant date. Pursuant to this Section 3.03, the Company shall make the following RSA Grants to Executive: 83,334 RSAs on July 1, 2024, 83,334 RSAs on August 1, 2024, 83,333 RSAs on September 1, 2024, 83,333 RSAs on October 1, 2024, 83,333 RSAs on November 1, 2024, 83,333 RSAs on December 1, 2024, 500,000 RSAs on June 1, 2025, 500,000 RSAs on June 1, 2026, 500,000 RSAs on June 1, 2027, 500,000 RSAs on June 1, 2028. In connection with the vesting schedule above, the vesting due July 1, 2024, is within sixty days of today's date and is thereby considered to be beneficially owned. Includes (i) 4,569,384 shares owned by BLC Family Investments, (ii) 561,758 shares owned by SMDMM, LLC, a Tennessee liability company and (iii) 270,745 shares owned by BC Family Holdings. Mr. Cox is a beneficial owner of all three entities. /s/ Kevin Brian Cox 2024-05-03