0001493152-21-007666.txt : 20210401 0001493152-21-007666.hdr.sgml : 20210401 20210401114029 ACCESSION NUMBER: 0001493152-21-007666 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210211 FILED AS OF DATE: 20210401 DATE AS OF CHANGE: 20210401 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Miller Kenneth Eugene CENTRAL INDEX KEY: 0001754603 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39223 FILM NUMBER: 21796838 MAIL ADDRESS: STREET 1: 16301 LEDGEMONT LANE STREET 2: #118 CITY: ADDISON STATE: TX ZIP: 75001 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: CA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2600 SOUTH SHORE BLVD. STREET 2: SUITE 300 CITY: LEAGUE CITY STATE: TX ZIP: 77573 BUSINESS PHONE: 682-708-8250 MAIL ADDRESS: STREET 1: 2600 SOUTH SHORE BLVD. STREET 2: SUITE 300 CITY: LEAGUE CITY STATE: TX ZIP: 77573 4 1 ownership.xml X0306 4 2021-02-11 0 0001701756 Muscle Maker, Inc. GRIL 0001754603 Miller Kenneth Eugene C/O MUSCLE MAKER, INC., 2600 SOUTH SHORE BLVD., SUITE 300 LEAGUE CITY, TX 77573 0 1 0 0 Chief Financial Officer Common Stock 2021-02-11 4 A 0 32142 2.87 A 32142 D /s/ Kenneth Eugene Miller 2021-04-01