0001493152-21-027094.txt : 20211103 0001493152-21-027094.hdr.sgml : 20211103 20211103160126 ACCESSION NUMBER: 0001493152-21-027094 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211101 FILED AS OF DATE: 20211103 DATE AS OF CHANGE: 20211103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Evans Maurice E. CENTRAL INDEX KEY: 0001830906 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38797 FILM NUMBER: 211375234 MAIL ADDRESS: STREET 1: C/O IMAC HOLDINGS, INC. STREET 2: 1605 WESTGATE CIRCLE CITY: BRENTWOOD STATE: TN ZIP: 37027 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: IMAC Holdings, Inc. CENTRAL INDEX KEY: 0001729944 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093] IRS NUMBER: 473579961 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1605 WESTGATE CIRCLE CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 844-266-4622 MAIL ADDRESS: STREET 1: 1605 WESTGATE CIRCLE CITY: BRENTWOOD STATE: TN ZIP: 37027 FORMER COMPANY: FORMER CONFORMED NAME: IMAC HOLDINGS LLC DATE OF NAME CHANGE: 20180131 4 1 ownership.xml X0306 4 2021-11-01 0 0001729944 IMAC Holdings, Inc. IMAC 0001830906 Evans Maurice E. C/O IMAC HOLDINGS, INC. 1605 WESTGATE CIRCLE BRENTWOOD TN 37027 1 0 0 0 Common Stock 2021-11-01 4 M 0 12500 A 62420 D Common Stock 129702 I By: ELOS Sports and Entertainment, LLC Restricted Stock Unit 2021-11-01 4 M 0 12500 0 D Common Stock 12500 50000 D Each restricted stock unit represents a contingent right to receive one share of common stock of IMAC Holdings, Inc. (the "Company"). Securities held by ELOS Sports and Entertainment, LLC ("ELOS"). Mr. Evans may be deemed to beneficially own the securities held by ELOS. Mr. Evans expressly disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein. On October 31, 2020, the Company granted Mr. Evans restricted stock units for 100,000 shares of the Company's common stock covering two years of service as a director, vesting in eight equal quarterly installments commencing on February 1, 2021, provided Mr. Evans remains a director of the Company. This Form 4 reflects the vesting of 12,500 shares of common stock on November 1, 2021. /s/ Maurice E. Evans 2021-11-02