0001493152-22-007721.txt : 20220325 0001493152-22-007721.hdr.sgml : 20220325 20220325110348 ACCESSION NUMBER: 0001493152-22-007721 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220325 FILED AS OF DATE: 20220325 DATE AS OF CHANGE: 20220325 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Black Jennifer Kay CENTRAL INDEX KEY: 0001905200 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39223 FILM NUMBER: 22769062 MAIL ADDRESS: STREET 1: 6409 CR 1126 CITY: GODLEY STATE: TX ZIP: 76044 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: NV 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 2022-03-25 0 0001701756 Muscle Maker, Inc. GRIL 0001905200 Black Jennifer Kay C/O MUSCLE MAKER, INC., 2600 SOUTH SHORE BLVD., SUITE 300 LEAGUE CITY, TX 77573 0 1 0 0 Chief Financial Officer Common Stock 2022-03-25 4 P 0 11000 0.52 A 31000 D Includes 20,000 shares to be issued to Ms. Black on April 4,2022 upon 90 days of employment. /s/ Jennifer K Black 2022-03-25