Sec Form 4 Filing - Kaufman Daniel Louis @ BranchOut Food Inc. - 2024-12-09

Insider filing report for Changes in Beneficial Ownership
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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
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Kaufman Daniel Louis
2. Issuer Name and Ticker or Trading Symbol
BranchOut Food Inc. [ BOF]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director X __ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
2158 PARK BOULEVARD
3. Date of Earliest Transaction (MM/DD/YY)
12/09/2024
(Street)
SAN JUAN, PR00913
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
_____ Form filed by One Reporting Person
__ X __ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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
Warrant to Purchase Common Stock $ 1.5 ( 1 ) 12/31/2025 Common Stock 500,000 500,000 D
Warrant to Purchase Common Stock $ 1 ( 1 ) 12/31/2025 Common Stock 1,000,000 1,000,000 D
12% Convertible Note $ 0.7582 12/09/2024 J( 2 ) 0 ( 2 ) ( 2 ) 12/31/2025 Common Stock 4,484,305 $ 0 4,484,305 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Kaufman Daniel Louis
2158 PARK BOULEVARD
SAN JUAN, PR00913
X
Kaufman Kapital LLC
2158 PARK BOULEVARD
SAN JUAN, PR00913
X
Signatures
s/ Daniel L. Kaufman as Power of Attorney for Daniel L. Kaufman, Managing Member 12/12/2024
Signature of Reporting Person Date
/s/ Jessica S. Lochmann as Power of Attorney for Daniel L. Kaufman 12/12/2024
Signature of Reporting Person Date
Explanation of Responses:
( 1 )As of October 14, 2024, the shareholders of the Issuer approved the exercise in full of the warrants reported in the Reporting Persons' Form 3. The Reporting Persons are no longer subject to a cap limiting the number of shares common stock that they may hold.
( 2 )As of October 14, 2024, the shareholders of the Issuer approved the conversion in full of the convertible note reported in the Reporting Persons' Form 3. The Reporting Persons are no longer subject to a cap limiting the number of shares common stock that they may hold. On December 9, 2024, the Reporting Persons loaned an additional $1,400,000 to the Issuer.

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 4(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).

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