0001213900-23-029192.txt : 20230412
0001213900-23-029192.hdr.sgml : 20230412
20230412172722
ACCESSION NUMBER: 0001213900-23-029192
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230410
FILED AS OF DATE: 20230412
DATE AS OF CHANGE: 20230412
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Novak Damian
CENTRAL INDEX KEY: 0001898426
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41147
FILM NUMBER: 23816542
MAIL ADDRESS:
STREET 1: 505 HIGHWAY 169 NORTH
STREET 2: SUITE 255
CITY: PLYMOUTH
STATE: MN
ZIP: 55441
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Fresh Vine Wine, Inc.
CENTRAL INDEX KEY: 0001880343
STANDARD INDUSTRIAL CLASSIFICATION: BEVERAGES [2080]
IRS NUMBER: 834709895
STATE OF INCORPORATION: TX
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 11500 WAYZATA BLVD. #1147
CITY: MINNETONKA
STATE: MN
ZIP: 55305
BUSINESS PHONE: 855-766-9463
MAIL ADDRESS:
STREET 1: 11500 WAYZATA BLVD. #1147
CITY: MINNETONKA
STATE: MN
ZIP: 55305
FORMER COMPANY:
FORMER CONFORMED NAME: FRESH GRAPES, LLC
DATE OF NAME CHANGE: 20210826
4
1
ownership.xml
OWNERSHIP DOCUMENT
X0407
4
2023-04-10
0
0001880343
Fresh Vine Wine, Inc.
VINE
0001898426
Novak Damian
505 HIGHWAY 169 NORTH
SUITE 255
PLYMOUTH
MN
55441
0
0
1
0
0
Common Stock
2023-04-10
4
S
0
12173
0.4006
D
1789999
D
The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $0.3900 to $0.4211, inclusive. The reporting person undertakes to provide Fresh Vine Wine, Inc., any security holder of Fresh Vine Wine, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price with the range set forth in this footnote.
/s/ Damian Novak
2023-04-11