0001731122-23-001907.txt : 20231016
0001731122-23-001907.hdr.sgml : 20231016
20231016175423
ACCESSION NUMBER: 0001731122-23-001907
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220502
FILED AS OF DATE: 20231016
DATE AS OF CHANGE: 20231016
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dhalla Fatima
CENTRAL INDEX KEY: 0001913908
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40471
FILM NUMBER: 231328140
MAIL ADDRESS:
STREET 1: 1010 PALM AVE, #302
CITY: WEST HOLLYWOOD
STATE: CA
ZIP: 90069
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: SPLASH BEVERAGE GROUP, INC.
CENTRAL INDEX KEY: 0001553788
STANDARD INDUSTRIAL CLASSIFICATION: BEVERAGES [2080]
IRS NUMBER: 341720075
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1314 E LAS OLAS BLVD, SUITE 221
CITY: FORT LAUDERDALE
STATE: FL
ZIP: 33301
BUSINESS PHONE: 954.745.5815
MAIL ADDRESS:
STREET 1: 1314 E LAS OLAS BLVD, SUITE 221
CITY: FORT LAUDERDALE
STATE: FL
ZIP: 33301
FORMER COMPANY:
FORMER CONFORMED NAME: Canfield Medical Supply, Inc.
DATE OF NAME CHANGE: 20120709
4
1
ownership.xml
X0508
4
2022-05-02
0
0001553788
SPLASH BEVERAGE GROUP, INC.
SBEV
0001913908
Dhalla Fatima
C/O SPLASH BEVERAGE GROUP, INC.
1314 E LAS OLAS BLVD, SUITE 221
FORT LAUDERDALE
FL
33301
0
1
0
0
Interim CFO
0
Stock options
1.12
2022-05-02
4
A
0
35000
0.00
A
2032-05-02
Common stock
35000
35000
D
The options were issued in connection with serving as the interim chief financial officer of SBEV, pursuant to the 2020 Long-Term Incentive Compensation Plan. All 35,000 options vested on May 2, 2022.
/s/ Fatima Dhalla
2023-10-16