0001981292-23-000003.txt : 20230713
0001981292-23-000003.hdr.sgml : 20230713
20230713131407
ACCESSION NUMBER: 0001981292-23-000003
CONFORMED SUBMISSION TYPE: 3/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230615
FILED AS OF DATE: 20230713
DATE AS OF CHANGE: 20230713
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dalfonsi John
CENTRAL INDEX KEY: 0001981292
FILING VALUES:
FORM TYPE: 3/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41723
FILM NUMBER: 231086325
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
3/A
1
primary_doc.xml
PRIMARY DOCUMENT
X0206
3/A
2023-06-15
2023-06-16
0
0001962481
BranchOut Food Inc.
BOF
0001981292
Dalfonsi John
205 SE DAVIS AVE
SUITE C
BEND
OR
97702
1
0
0
0
Warrant
7.5
2023-06-15
2027-05-26
Common Stock
18334
I
BY EAGLEVISION VENTURES, INC.
Warrant
7.5
2023-06-15
2027-06-06
Common Stock
3394
I
BY EAGLEVISION VENTURES, INC.
Warrant
6.5
2023-06-15
2030-12-08
Common Stock
15383
I
BY EAGLEVISION VENTURES, INC.
Warrant
7.1
2023-06-15
2031-05-07
Common Stock
7692
I
BY EAGLEVISION VENTURES, INC.
Share amounts and exercise price amended to reflect 2.5:1 reverse stock split effective June 16, 2023.
/s/ John Dalfonsi
2023-07-13