| | | | | | | | | | | | | | | | | | | | | |
Ownership Document |
Schema Version: X0306 |
Document Type: 4 |
Period of Report: 2021- 6/15/05:00 |
Not Subject to Section 16? No |
Issuer: |
| Issuer CIK: 1682265 |
| Issuer Name: Reliant Holdings, Inc. |
| Issuer Trading Symbol: RELT |
Reporting Owner: |
| Reporting Owner ID: |
| | Owner CIK: 1762292 |
| | Owner Name: May Elijah |
| Reporting Owner Address: |
| | Owner Street 1: 12343 HYMEADOW DRIVE |
| | Owner Street 2: SUITE 3-A |
| | Owner City: AUSTIN |
| | Owner State: TX |
| | Owner ZIP Code: 78750 |
| | Owner State Description: |
| Reporting Owner Relationship: |
| | Is Director? Yes |
| | Is Officer? Yes |
| | Is Ten Percent Owner? Yes |
| | Is Other? No |
| | Officer Title: President, CEO and COO |
Non-Derivative Table: |
| Non-Derivative Transaction: |
| | Security Title: |
| | | Value: Series A Preferred Stock |
| | Transaction Date: |
| | | Value: 2021- 6/15/05:00 |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: A |
| | | Equity Swap Involved? No |
| | | Footnote ID: F1 |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 1,000 |
| | | Transaction Price Per Share: |
| Footnote ID: F1 |
| | | Transaction Acquired-Disposed Code: |
| Value: A |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 1,000 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Non-Derivative Holding: |
| | Security Title: |
| | | Value: Common Stock |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 5,200,000 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Non-Derivative Holding: |
| | Security Title: |
| | | Value: Common Stock |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 4,475,850 |
| Footnote ID: F2 |
| Footnote ID: F3 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: I |
| | | Nature of Ownership: |
| Value: Through Voting Agreement |
| Footnote ID: F2 |
| Footnote ID: F3 |
Footnotes: |
| Footnote - F1: Issued in consideration for services rendered and to be rendered as an officer of the Issuer. There is not market for the preferred stock. The 1,000 shares of preferred stock vote in aggregate fifty-one percent (51%) of the total vote on all shareholder matters, voting separately as a class. The 1,000 shares of preferred stock have no conversion feature. Exempt from Section 16(b) pursuant to Rule 16b-3. |
| Footnote - F2: Pursuant to a Voting Agreement entered into on November 3, 2017, Mr. Michael Chavez provided complete authority to Mr. Elijah May to vote all shares of common stock which Mr. Chavez then held (and any other securities of the Issuer obtained by Mr. Chavez in the future) at any and all meetings of shareholders of the Issuer and via any written consents. The Voting Agreement has a term of ten years, through November 3, 2027, but can be terminated at any time by Mr. May and terminates automatically upon the death of Mr. May. |
| Footnote - F3: In connection with his entry into the Voting Agreement, Mr. Chavez provided Mr. May an irrevocable voting proxy to vote the shares covered by the Voting Agreement. Additionally, during the term of such agreement, Mr. Chavez agreed not to transfer the shares covered by the Voting Agreement except pursuant to certain limited exceptions. Due to the Voting Agreement, Mr. May is deemed to also beneficially own the shares of common stock held by Mr. Chavez. |
Remarks: |
Owner Signature: |
| Signature Name: /s/ Elijiah May |
| Signature Date: 2021- 6/28/05:00 |