SEC Form 4 · accession 0001615774-18-015240
Celsius Holdings, Inc. · CELH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ka Shing Li
10% Owner
Period of report
Dec 27, 2018
Accepted (ET)
Dec 31, 2018 · 12:41 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 | $3.04 | Dec 27, 2018 | P | — | A | Dec 27, 2018 | — | Common Stock | 986,842 | — | I |
Explanation of responses
- F1The Note bears interest at a rate of 5% per annum.
- F2The outstanding principal and all accrued but unpaid interest under the Note is convertible, at the election of the lender Charmnew Limited, on or prior to the maturity date of December 12, 2020.
- F3The number of shares represents conversion of the principal amount due under the Note. Additional shares would also be issued based upon the conversion of accrued but unpaid interest.
- F4Charmnew Limited is the holder and lender pursuant to the Note. Mr. Li is the sole owner of Charmnew Limited.