SEC Form 4 · accession 0001185185-18-000326
CLS Holdings USA, Inc. · CLSH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David Lamadrid
Officer — President and CFO
Period of report
Feb 20, 2018
Accepted (ET)
Feb 26, 2018 · 5:34 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001522222
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | holding | — | — | — | 1,000,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Convertible Promissory NoteF2 | $0.3125 | Feb 20, 2018 | J | — | A | Feb 20, 2018 | — | Common Stock | 100,000 | 100,000 | D |
| Common Stock Purchase WarrantF3 | $0.75 | Feb 20, 2018 | P | 25,000 | A | — | Feb 20, 2021 | Common Stock | 25,000 | 25,000 | D |
Explanation of responses
- F1This Note bears interest at the rate of 8% per annum. At the election of the Reporting Person, all principal and accrued interest under the Note may be converted into the Issuer's common stock. For each $0.3125 converted, the Reporting Person will receive one share of common stock.
- F2The Note is convertible, at the election of the Reporting Person, at any time prior to payment or prepayment in full and matures 18 months following the date of issuance.
- F3This warrant is exercisable commencing on the Issuance Date and ending on 5:00 p.m. eastern standard time on the three-year anniversary thereof.