SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES


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*
JOHN ROSATTI REVOCABLE TRUST

(Last) (First) (Middle)
105 US HIGHWAY 1

(Street)
NORTH PALM BEACH FL 33408

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/16/2020
3. Issuer Name and Ticker or Trading Symbol
BurgerFi International, Inc. [ BFI ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
04/29/2021
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 5,853,396(1)(2) I See Footnote(1)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. The John Rosatti Family Trust dated August 27, 2001, as amended, (the "Trust") received 5,853,396 shares (the "Shares") of Common Stock in connection the business combination with BurgerFi International, LLC ("BurgerFi LLC"), the members of BurgerFi LLC ("Members"), and BurgerFi Holdings, LLC ("BurgerFi Holdings"), pursuant to the membership interest purchase agreement of June 29, 2020, as amended on September 22, 2020 among BurgerFi International, Inc. (formerly, OPES Acquisition Corp.) ("BFI"), BurgerFi LLC, the Members and BurgerFi Holdings. John Rosatti, as trustee, has voting and dispositive power over the Shares. Amount of Securities Beneficially Owned includes 849,056 shares of Common Stock held in escrow pursuant to the Share Escrow Agreement entered into among BFI, BurgerFi Holdings and Continental Stock Transfer & Trust Company dated December 16, 2020 (the "Escrow Shares").
2. Amended to include the Escrow Shares.
/s/ John Rosatti, Trustee 01/08/2024
** Signature of Reporting Person Date

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.

* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).

** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.

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