SEC Form 4/A · accession 0001443194-18-000003
Celsius Holdings, Inc. · CELH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
William H. Milmoe
Director
Period of report
Dec 14, 2018
Accepted (ET)
Dec 20, 2018 · 4:24 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001341766
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Convertible NoteF1,F4,F2,F3 | $3.40 | Dec 14, 2018 | P | — | A | Dec 14, 2018 | — | Common Stock | 1,470,588 | — | I |
Explanation of responses
- F1The Note bears interest at a rate of 5% per annum.
- F2The Note is convertible, at the election of its holder CD Financial, LLC, on or prior to the maturity date of 12/14/2020.
- F3The original Form 4 filed on December 19, 2018 is amended by this Form 4/A solely to correct the number of shares of common stock underlying the Note.
- F4CD Financial, LLC is the holder and lender pursuant to the Note. William H. Milmoe is a Manager of CD Financial, LLC.