0001493152-23-018937.txt : 20230524 0001493152-23-018937.hdr.sgml : 20230524 20230524164041 ACCESSION NUMBER: 0001493152-23-018937 CONFORMED SUBMISSION TYPE: 8-K PUBLIC DOCUMENT COUNT: 14 CONFORMED PERIOD OF REPORT: 20230518 ITEM INFORMATION: Entry into a Material Definitive Agreement ITEM INFORMATION: Unregistered Sales of Equity Securities ITEM INFORMATION: Financial Statements and Exhibits FILED AS OF DATE: 20230524 DATE AS OF CHANGE: 20230524 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Reliance Global Group, Inc. CENTRAL INDEX KEY: 0001812727 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411] IRS NUMBER: 463390293 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-K SEC ACT: 1934 Act SEC FILE NUMBER: 001-40020 FILM NUMBER: 23954685 BUSINESS ADDRESS: STREET 1: 300 BOULEVARD OF THE AMERICAS, STREET 2: SUITE 105 CITY: LAKEWOOD STATE: NJ ZIP: 08701 BUSINESS PHONE: 732-780-4647 MAIL ADDRESS: STREET 1: 300 BOULEVARD OF THE AMERICAS, STREET 2: SUITE 105 CITY: LAKEWOOD STATE: NJ ZIP: 08701 8-K 1 form8-k.htm
0001812727 false 0001812727 2023-05-18 2023-05-18 0001812727 RELI:CommonStock0.086ParValuePerShareMember 2023-05-18 2023-05-18 0001812727 RELI:SeriesWarrantsToPurchaseSharesOfCommonStockParValue0.086PerShareMember 2023-05-18 2023-05-18 iso4217:USD xbrli:shares iso4217:USD xbrli:shares

 

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, DC 20549

 

FORM 8-K

 

CURRENT REPORT

Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

 

Date of Report (Date of earliest reported): May 18, 2023

 

Reliance Global Group, Inc.

(Exact name of registrant as specified in its charter)

 

Florida   001-40020   46-3390293
(State or other jurisdiction   (Commission   (IRS Employer
of Incorporation)   File Number)   Identification Number)

 

300 Blvd. of the Americas, Suite 105, Lakewood, NJ 08701

(Address of principal executive offices)

 

(732) 380-4600

(Registrant’s telephone number, including area code)

 

N/A

(Former name or former address, if changed since last report)

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2.)

 

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
   
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
   
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
   
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CF$ 240.13e-4(c))

 

Securities registered pursuant to Section 12(b) of the Act:

 

Title of Each Class   Trading Symbol(s)   Name of Each Exchange on which Registered
Common Stock, $0.086 par value per share   RELI  

The Nasdaq Stock Market LLC

(The Nasdaq Capital Market)

Series A Warrants to purchase shares of Common Stock, par value $0.086 per share   RELIW  

The Nasdaq Stock Market LLC

(The Nasdaq Capital Market)

 

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

 

Emerging growth company

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

 

 

 

 
 

 

Item 1.01 Entry into Material Definitive Agreement.

 

As previously disclosed, Reliance Global Group, Inc., a Florida corporation (the “Company”), Fortman Insurance Services, LLC, Fortman Insurance Agency, LLC, Jonathan Fortman, and Zachary Fortman (collectively, the “Parties”) entered into a purchase agreement on or around May 1, 2019 (the “Purchase Agreement”), whereby the Company purchased the business and certain assets noted within the Purchase Agreement. On May 18, 2023, the Parties entered into that certain second amendment to the Purchase Agreement (the “Second Amendment”). Pursuant to the Second Amendment, the Parties agreed to a total remaining balance of $716,850.00 owed to both Jonathan Fortman and Zachary Fortman under the Purchase Agreement for a combined total amount owed of $1,433,700. In satisfaction of such remaining balances, the Company agreed to issue 176,130 shares of the Company’s restricted common stock, par value $0.086 per share (the “Common Stock”), to both Jonathan Fortman and Zachary Fortman (collectively, the “Shares”), for a total issuance of 352,260 shares of Common Stock. Following the issuance of the Shares, the Company’s issued and outstanding Common Stock count will be 1,983,308. If the Nasdaq official closing price of the Common Stock is less than $4.07 on November 18, 2023, then the Company shall pay both Jonathan Fortman and Zachary Fortman an amount equal to the Make-Up Payment (as defined herein) within fifteen (15) business days thereafter. Pursuant to the Second Amendment, the “Make-Up Payment” means an amount in cash equal to $616,850.00 minus First Holder Shares Value (as defined herein) to Jonathan Fortman, and $616,850.00 minus Second Holder Shares Value (as defined herein) to Zachary Fortman. Further, under the Second Amendment, the “First Holder Shares Value” and “Second Holder Shares Value” means 176,130 and 176,130 respectively (subject to appropriate adjustments for any stock dividend, stock split, stock combination, rights offerings, reclassification or similar transaction that proportionately decreases or increases the Common Stock) multiplied by the Nasdaq official closing price of the Common Stock on November 18, 2023.

 

The foregoing description of the terms of the Second Amendment and the transactions contemplated thereby does not purport to be complete, and is qualified in its entirety by reference to the copy of the Second Amendment filed hereto as Exhibit 10.1, and is incorporated herein by reference.

 

Item 3.02. Unregistered Sales of Equity Securities

 

To the extent required by Item 3.02 of Form 8-K, the information contained in Item 1.01 of this Current Report on Form 8-K is incorporated herein by reference.

 

Item 9.01. Financial Statements and Exhibits.

 

(d) Exhibits.

 

Exhibit No.   Description
10.1   Second Amendment to the Purchase Agreement, dated as of May 18, 2023, by and between Reliance Global Group, Inc., Fortman Insurance Services, LLC, Fortman Insurance Agency, LLC, Jonathan Fortman, and Zachary Fortman
104   Cover Page Interactive Data File (embedded within the Inline XBRL document)

 

 
 

 

SIGNATURE

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

  Reliance Global Group, Inc.
     
Dated: May 24, 2023 By: /s/ Ezra Beyman
    Ezra Beyman
    Chief Executive Officer

 

 

 

EX-10.1 2 ex10-1.htm

 

Exhibit 10.1

 

SECOND AMENDMENT TO THE PURCHASE AGREEMENT

ENTERED INTO ON MAY 1, 2019

 

THIS SECOND AMENDMENT to the Purchase Agreement (as defined below) (the “Amendment”) is entered into as of May 18, 2023 (the “Effective Date”), by and between RELIANCE GLOBAL GROUP, INC., a Florida corporation (the “Company”), Fortman Insurance Services, LLC, an Ohio limited liability company (the “Subsidiary”), Fortman Insurance Agency, LLC, an Ohio limited liability company (the “Seller”), Jonathan Fortman (“First Holder”), and Zachary Fortman (“Second Holder”, and collectively with the First Holder, the “Holders”) (the Company, Subsidiary, Seller, and Holders are collectively referred to herein as the “Parties”).

 

BACKGROUND

 

A. Subsidiary, Seller, and Holders entered into that certain purchase agreement on or around May 1, 2019, with respect to the Subsidiary’s acquisition of the business and certain assets of the Seller, which was amended in August of 2022 (as amended from time to time, the “Purchase Agreement”); and

 

B. The Parties desire to amend the Purchase Agreement as set forth expressly below.

 

NOW THEREFORE, in consideration of the execution and delivery of the Amendment and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Parties agree as follows:

 

1. The Parties hereby acknowledge and agree that the new total sum owed to the Seller and Holders under the Purchase Agreement as of the Effective Date, including but not limited to the remainder of the Purchase Price (as defined in the Purchase Agreement) and Earn-Out Payment (as defined in the Purchase Agreement), including calculated and agreed upon total interest, is equal to $616,850.00 to the First Holder (the “First Holder Total Agreed Upon Payment”) and $616,850.00 to the Second Holder (the “Second Holder Total Agreed Upon Payment”). In addition, the Parties have agreed to increase both the First Holder Total Agreed Upon Payment and the Second Holder Total Agreed Upon Payment by an additional $100,000 in connection with the execution of this Amendment, resulting in a total payment to the First Holder of $716,850.00 (the “First Holder Total All-In Payment”) and total payment to the Second Holder of $716,850.00 (the “Second Holder Total All-In Payment”).

 

2. For full satisfaction of the First Holder Total All-In Payment, the Company shall issue 176,130 shares of Common Stock (as defined below) (the “First Holder Shares”), to the First Holder within ten (10) business days after the Effective Date. Seller and First Holder understand that, until such time as the First Holder Shares have been registered under the Securities Act of 1933, as amended, or may be sold pursuant to Rule 144, Rule 144A, Regulation S, or other applicable exemption without any restriction, the First Holder Shares may bear a restrictive legend.

 

3. For full satisfaction of the Second Holder Total All-In Payment, the Company shall issue 176,130 shares of Common Stock (the “Second Holder Shares”) to the Second Holder within ten (10) business days after the Effective Date. Seller and Second Holder understand that, until such time as the Second Holder Shares have been registered under the Securities Act of 1933, as amended, or may be sold pursuant to Rule 144, Rule 144A, Regulation S, or other applicable exemption without any restriction, the Second Holder Shares may bear a restrictive legend.

 

4. If the Nasdaq official closing price of the Company’s common stock, par value $0.086 per share (the “Common Stock”), is less than $4.07 on November 18, 2023 (the “Calculation Date”) according to Nasdaq’s official NOCP website (https://www.nasdaq.com/market-activity/stocks/reli/historical-nocp), then the Company shall pay the First Holder Make-Up Payment (as defined in this Amendment) to the First Holder within fifteen (15) business days after the Calculation Date. The “First Holder Make-Up Payment” shall mean an amount in cash equal to $616,850.00 minus First Holder Shares Value (as defined in this Amendment). The “First Holder Shares Value” shall mean 176,130 (subject to appropriate adjustments for any stock dividend, stock split, stock combination, rights offerings, reclassification or similar transaction that proportionately decreases or increases the Common Stock) multiplied by the Nasdaq official closing price of the Common Stock on the Calculation Date according to Nasdaq’s official NOCP website (https://www.nasdaq.com/market-activity/stocks/reli/historical-nocp). For the avoidance of doubt, if the First Holder Make-Up Payment is equal to or less than $0.00, then the Company shall not pay any First Holder Make-Up Payment.

 

 
 

 

5. If the Nasdaq official closing price of the Common Stock is less than $4.07 on November 18, 2023 (the “Calculation Date”) according to Nasdaq’s official NOCP website (https://www.nasdaq.com/market-activity/stocks/reli/historical-nocp), then the Company shall pay the Second Holder Make-Up Payment (as defined in this Amendment) to the Second Holder within fifteen (15) business days after the Calculation Date. The “Second Holder Make-Up Payment” shall mean an amount in cash equal to $616,850.00 minus Second Holder Shares Value (as defined in this Amendment). The “Second Holder Shares Value” shall mean 176,130 (subject to appropriate adjustments for any stock dividend, stock split, stock combination, rights offerings, reclassification or similar transaction that proportionately decreases or increases the Common Stock) multiplied by the Nasdaq official closing price of the Common Stock on the Calculation Date according to Nasdaq’s official NOCP website (https://www.nasdaq.com/market-activity/stocks/reli/historical-nocp). For the avoidance of doubt, if the Second Holder Make-Up Payment is equal to or less than $0.00, then the Company shall not pay any Second Holder Make-Up Payment

 

6. The Holders each represent and warrant that, as of the Effective Date, each of the Holders are an “accredited investor” as defined in Rule 501(a) under the Securities Act.

 

7. All questions concerning the construction, validity, enforcement and interpretation of this Amendment shall be governed by and construed and enforced in accordance with the laws of New York, without regard to the principles of conflicts of law thereof. Each party agrees that all legal proceedings concerning the interpretations, enforcement and defense of the transactions contemplated by this Amendment (whether brought against a party hereto or its respective affiliates, directors, officers, shareholders, partners, members, employees or agents) shall be commenced exclusively in the state or federal courts located in New York, New York. Each party hereby irrevocably submits to the exclusive jurisdiction of the state or federal courts sitting in New York, New York, for the adjudication of any dispute hereunder or in connection herewith or with any transaction contemplated hereby or discussed herein, and hereby irrevocably waives, and agrees not to assert in any action or proceeding, any claim that it is not personally subject to the jurisdiction of any such court, that such action or proceeding is improper or is an inconvenient venue for such proceeding.

 

8. This Amendment shall be deemed part of, but shall take precedence over and supersede any provisions to the contrary contained in the Purchase Agreement. Except as specifically modified hereby, all of the provisions of the Purchase Agreement, which are not in conflict with the terms of this Amendment, shall remain in full force and effect.

 

[Signature page to follow]

 

 
 

 

IN WITNESS WHEREOF, the Parties hereto have executed this Amendment as of the date first above written.

 

RELIANCE GLOBAL GROUP, INC.   FORTMAN INSURANCE AGENCY, LLC
         
By: /s/ Joel Markovits   By: /s/ Jonathan Fortman
Name: Joel Markovits   Name: Jonathan Fortman
Title: Chief Financial Officer   Title: Member
         
FORTMAN INSURANCE SERVICES, LLC   By: /s/ Jonathan Fortman
      Jonathan Fortman, an individual
       
By: /s/ Ezra Beyman    
Name: Ezra Beyman   By: /s/ Zachary Fortman
Title: Manager   Zachary Fortman, an individual

 

 
 

 

Exhibit A

 

(see attached)

 

 

 

 

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Title of 12(b) Security Series A Warrants to purchase shares of Common Stock, par value $0.086 per share
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