SEC Form 4 · accession 0001443194-17-000002
Celsius Holdings, Inc. · CELH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
William H. Milmoe
Director
Period of report
Jan 26, 2017
Accepted (ET)
Feb 10, 2017 · 6:18 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001341766
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jan 26, 2017 | P | 47,126 | $3.48 | A | 10,598,363 | I | See Footnote |
| Common StockF1 | Jan 31, 2017 | P | 333,333 | $3.00 | A | 10,931,696 | I | See Footnote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F2 | $3.48 | Jan 26, 2017 | A | 50,000 | A | Jan 26, 2018 | Jan 26, 2022 | Common Stock | 50,000 | 9,460,586 | I |
Explanation of responses
- F1William H. Milmoe is a Manager of each of CD Financial, LLC and CDS Ventures of South Florida, LLC, which are the holders of record of the shares of common stock (except 47,626 shares held individually by Mr. Milmoe).
- F2William H. Milmoe directly owns options to purchase 232,500 shares of common stock. The remaining underlying shares of common stock are in connection with Series C Convertible Preferred Stock held by CDS Ventures of South Florida, LLC and Series D Convertible Preferred Stock held by CD Financial, LLC.