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