0001493152-24-017721.txt : 20240503 0001493152-24-017721.hdr.sgml : 20240503 20240503163037 ACCESSION NUMBER: 0001493152-24-017721 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: Evers Anthony George CENTRAL INDEX KEY: 0001828251 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40992 FILM NUMBER: 24913663 MAIL ADDRESS: STREET 1: 701 ASHTON LANE CITY: SOUTH ELGIN STATE: IL ZIP: 60177 FORMER NAME: FORMER CONFORMED NAME: Evers Anthony Geogre DATE OF NAME CHANGE: 20201014 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 0001828251 Evers Anthony George 3124 BROTHER BLVD, SUITE 410 BARLETT TN 38133 0 1 0 0 Chief Financial Officer 0 Restricted Shares (Common Stock) 2024-05-01 4 A 0 66667 0 A 77339 D Represents a restricted stock award granted to the Reporting Person pursuant to the Issuer's 2022 Omnibus Securities and Incentive Plan. The award will vest as to 66,667 RSAs on July 1, 2024, 66,667 RSAs on August 1, 2024, 66,667 RSAs on September 1, 2024, 66,667 RSAs on October 1, 2024, 66,666 RSAs on November 1, 2024, 66,666 RSAs on December 1, 2024, and 200,000 RSAs on December 31, 2025, in each case, subject to Executive's continued employment with the Company through the applicable vesting date. 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 7,271 shares of Common Stock (held in Mr. Evers' IRA) and options that are currently exercisable. /s/ Anthony Evers 2024-05-03