Statement of Changes in Beneficial Ownership (4)
July 15 2021 - 7:17PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Ramirez Julio A |
2. Issuer Name and Ticker or Trading Symbol
BurgerFi International, Inc.
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BFI, BFIIW
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) Chief Executive Officer |
(Last)
(First)
(Middle)
C/O BURGERFI INTERNATIONAL, INC.,, 105 U.S. HIGHWAY 1 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
7/13/2021 |
(Street)
NORTH PALM BEACH, FL 33408
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Restricted Stock Units | (1) | 7/13/2021 | | A | | 161000 | | (2) | (2) | Common Stock | 161000 | $0.00 | 161000 | D | |
Explanation of Responses: |
(1) | Each restricted stock unit represents a contingent right to receive one share of BurgerFi International, Inc. common stock. |
(2) | On July 13 ,2021, the Reporting Person was granted 250,000 restricted stock units under the issuer's 2020 Omnibus Equity Incentive (the "Plan"), which shall vest and be settled in shares of common stock in five installments as follows; provided, however, that 36% (89,000 shares) of the total restricted stock units will not be issued (deemed or otherwise) under the Plan until the aggregate number of shares reserved for Awards under the Plan is increased consistent with Section 5.1 of the Plan: 20%, or the full 250,000 restricted stock units or 32,200 of the 161,000 restricted stock units, shall vest annually beginning December 16, 2021, subject to the Reporting Person's achievement of certain key performance criteria and earlier vesting due to a change of control or certain termination events. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Ramirez Julio A C/O BURGERFI INTERNATIONAL, INC., 105 U.S. HIGHWAY 1 NORTH PALM BEACH, FL 33408 |
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| Chief Executive Officer |
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Signatures
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/s/ Julio A. Ramirez | | 7/15/2021 |
**Signature of Reporting Person | Date |
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