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*
Kaufman Kapital LLC

(Last) (First) (Middle)
2158 PARK BOULEVARD

(Street)
SAN JUAN PR 00913

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
07/24/2024
3. Issuer Name and Ticker or Trading Symbol
BranchOut Food Inc. [ BOF ]
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)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X 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)
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
Warrant to Purchase Common Stock (1) 12/31/2025 Common Stock 500,000 $1.5 D
Warrant to Purchase Common Stock (1) 12/31/2025 Common Stock 1,000,000 $1 D
12% Convertible Note (2) 12/31/2025 Common Stock 2,637,826 $0.7582 D
1. Name and Address of Reporting Person*
Kaufman Kapital LLC

(Last) (First) (Middle)
2158 PARK BOULEVARD

(Street)
SAN JUAN PR 00913

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Kaufman Daniel Louis

(Last) (First) (Middle)
2158 PARK BOULEVARD

(Street)
SAN JUAN PR 00913

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. The Warrants will not be exercisable until such time as the Issuer has obtained the approval of its shareholders to the exercise of the Warrant under the NASDAQ Listing Rules.
2. The Reporting Person is currently subject to an ownership cap that limits the number of shares of Common Stock that the Reporting Person may hold to 19.9% of the Company's shares of Common Stock outstanding.
Remarks:
See Exhibit 24 - Power of Attorney.
/s/ Daniel L. Kaufman as Power of Attorney for Daniel L. Kaufman, Managing Member 08/08/2024
/s/ Jessica Lochmann as Power of Attorney for Daniel L. Kaufman 08/08/2024
** 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.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.