0001981292-23-000004.txt : 20230811 0001981292-23-000004.hdr.sgml : 20230811 20230811131630 ACCESSION NUMBER: 0001981292-23-000004 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: Dalfonsi John CENTRAL INDEX KEY: 0001981292 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41723 FILM NUMBER: 231162803 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 0001981292 Dalfonsi John 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 74803 D 1/12th of the shares granted shall become vested and exercisable as of each monthly anniversary commencing on August 8, 2023. After the transaction reported herein, the number of securities and derivative securities beneficially owned by the Reporting Person are 30,000 and 74,803, respectively. /s/ John Dalfonsi 2023-08-11