SEC Form 4 · accession 0001185185-18-000427

CLS Holdings USA, Inc. · CLSH

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

10% Owner

Period of report

Mar 12, 2018

Accepted (ET)

Mar 14, 2018 · 9:20 pm EDT

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
Common Stock	Mar 12, 2018	M	50,685	$0.3125	A	1,921,673	D
Common Stock	Mar 12, 2018	M	9,027	$0.3125	A	1,930,700	D
Common Stock	Mar 12, 2018	M	427,187	$0.3125	A	2,357,887	D
Common Stock	Mar 12, 2018	M	2,173,088	$0.3125	A	4,530,975	D
Common Stock	Mar 12, 2018	M	236,810	$0.3125	A	4,767,785	D
Common Stock	Mar 12, 2018	M	100,525	$0.3125	A	4,868,310	D
Common Stock	Mar 12, 2018	M	377,898	$0.3125	A	5,246,208	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	D/I
Convertible Promissory Note^F1,F2	$0.3125	Mar 12, 2018	M	—	D	Jan 10, 2017	—	Common Stock	50,685	D
Convertible Promissory Note^F1,F2	$0.3125	Mar 12, 2018	M	—	D	Jan 10, 2017	—	Common Stock	9,027	D
Convertible Promissory Note^F3	$0.3125	Mar 12, 2018	M	—	D	Mar 31, 2017	—	Common Stock	427,187	D
Convertible Promissory Note^F4	$0.3125	Mar 12, 2018	M	—	D	Aug 23, 2017	—	Common Stock	2,173,088	D
Convertible Promissory Note^F4	$0.3125	Mar 12, 2018	M	—	D	Aug 23, 2017	—	Common Stock	236,810	D
Convertible Promissory Note^F5	$0.3125	Mar 12, 2018	M	—	D	Oct 9, 2017	—	Common Stock	100,525	D
Convertible Promissory Note^F6	$0.3125	Mar 12, 2018	M	—	D	Jan 5, 2018	—	Common Stock	377,898	D

F1Represents conversion of remaining unpaid interest that accrued on a convertible promissory note that was converted on May 31, 2017.
F2The Note is convertible, at the election of the Reporting Person, at any time prior to payment or prepayment in full and matures on January 2, 2020.
F3The Note is convertible, at the election of the Reporting Person, at any time prior to payment or prepayment in full and matures on April 1, 2020.
F4The Note is convertible, at the election of the Reporting Person, at any time prior to payment or prepayment in full and matures on August 22, 2020.
F5The Note is convertible, at the election of the Reporting Person, at any time prior to payment or prepayment in full and matures on October 8, 2020.
F6The Note is convertible, at the election of the Reporting Person, at any time prior to payment or prepayment in full and matures on April 1, 2021.