0001980540-23-000002.txt : 20230811
0001980540-23-000002.hdr.sgml : 20230811
20230811125642
ACCESSION NUMBER: 0001980540-23-000002
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230808
FILED AS OF DATE: 20230811
DATE AS OF CHANGE: 20230811
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Somerville Greg
CENTRAL INDEX KEY: 0001980540
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41723
FILM NUMBER: 231162694
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]
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
primary_doc.xml
PRIMARY DOCUMENT
X0508
4
2023-08-08
0
0001962481
BranchOut Food Inc.
BOF
0001980540
Somerville Greg
205 SE DAVIS AVE
SUITE C
BEND
OR
97702
1
0
0
0
0
Nonqualified Stock Option (right to buy)
2.51
2023-08-08
4
A
0
30000
0
A
2028-08-08
Common Stock
30000
30000
D
1/12th of the shares granted shall become vested and exercisable as of each monthly anniversary commencing on August 8, 2023.
/s/ Greg Somerville
2023-08-11