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