0001493152-24-009974.txt : 20240314 0001493152-24-009974.hdr.sgml : 20240314 20240314162951 ACCESSION NUMBER: 0001493152-24-009974 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240222 FILED AS OF DATE: 20240314 DATE AS OF CHANGE: 20240314 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Israel David Richard CENTRAL INDEX KEY: 0001981244 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41723 FILM NUMBER: 24750616 MAIL ADDRESS: STREET 1: 205 SE DAVIS AVE STREET 2: SUITE C CITY: BEND STATE: OR ZIP: 97702 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BranchOut Food Inc. CENTRAL INDEX KEY: 0001962481 STANDARD INDUSTRIAL CLASSIFICATION: FOOD & KINDRED PRODUCTS [2000] ORGANIZATION NAME: 04 Manufacturing IRS NUMBER: 873980472 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 205 SE DAVIS AVENUE, STREET 2: SUITE C CITY: BEND STATE: OR ZIP: 97702 BUSINESS PHONE: 844-263-6637 MAIL ADDRESS: STREET 1: 205 SE DAVIS AVENUE, STREET 2: SUITE C CITY: BEND STATE: OR ZIP: 97702 4 1 ownership.xml X0508 4 2024-02-22 0 0001962481 BranchOut Food Inc. BOF 0001981244 Israel David Richard 205 SE DAVIS AVE., SUITE C BEND OR 97702 1 0 0 0 0 Stock Option (Right to buy) 1.92 2024-02-22 4 A 0 30000 0 A 2024-02-22 2034-02-21 Common Stock 30000 30000 D /s/ David Israel 2024-03-13