0000897069-23-001594.txt : 20231114 0000897069-23-001594.hdr.sgml : 20231114 20231114164620 ACCESSION NUMBER: 0000897069-23-001594 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230930 FILED AS OF DATE: 20231114 DATE AS OF CHANGE: 20231114 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Casey Ted CENTRAL INDEX KEY: 0001856959 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-38785 FILM NUMBER: 231407410 MAIL ADDRESS: STREET 1: 5801 TENNYSON PKWY SUITE 275 CITY: PLANO STATE: TX ZIP: 75024 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: STRYVE FOODS, INC. CENTRAL INDEX KEY: 0001691936 STANDARD INDUSTRIAL CLASSIFICATION: FOOD & KINDRED PRODUCTS [2000] IRS NUMBER: 871760117 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5801 TENNYSON PARKWAY STREET 2: SUITE 275 CITY: PLANO STATE: TX ZIP: 75024 BUSINESS PHONE: 646-565-3861 MAIL ADDRESS: STREET 1: 5801 TENNYSON PARKWAY STREET 2: SUITE 275 CITY: PLANO STATE: TX ZIP: 75024 FORMER COMPANY: FORMER CONFORMED NAME: Andina Acquisition Corp. III DATE OF NAME CHANGE: 20161208 4/A 1 form4.xml X0508 4/A 2023-09-30 2023-11-13 0001691936 STRYVE FOODS, INC. SNAX 0001856959 Casey Ted C/O STRYVE FOODS, INC. POST OFFICE BOX 864 FRISCO TX 75034 true false Class A Common Stock 2023-09-30 4 A 0 1448 0 A 33509 D Class V Common Stock 99421 D Class A Common Stock 25887 I See Footnote Represents director's fees paid in restricted stock from the Issuer's Omnibus Incentive Plan. This amendment is being filed to correct the number of shares beneficially owned by the reporting person as a result of the reverse stock split. One-half of the securities are owned by the TRC GST TRFBO Trinity Jennifer Wommack Casey BTD 09302011 and the other half are owned by TRC GST TRFBO Avery Maryanna Wommack Casey BTD 09302011. Thomas Farrell Casey is the trustee and control person of, with voting and dispositive power over the securities held by, such trusts. The reporting person disclaims beneficial ownership of the securities owned by the trusts. /s/ Ted Casey by John J. Wolfel, Attorney-in-Fact 2023-11-14