SEC Form 4 · accession 0001144204-15-035482

TWINLAB CONSOLIDATED HOLDINGS, INC. · TLCC

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

Reporting owner

Director · 10% Owner

Period of report

Jun 2, 2015

Accepted (ET)

Jun 4, 2015 · 3:09 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001590695

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
common stock, par value $0.001^F1	Jun 2, 2015	P	3,289,474	$0.76	A	18,515,328	I	owned through a Trust
common stock, par value $0.001^F2	Jun 2, 2015	P	3,289,474	$0.76	A	29,879,474	I	owned through a limited liability company

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Warrant (right to buy)^F2,F1,F3	$0.385	Jun 2, 2015	J	12,987,012	A	Jun 2, 2015	Sep 30, 2017	Common stock, par value $0.001	12,987,012	12,987,012	I
Warrant (right to buy)^F5,F2,F1	$0.01	Jun 2, 2015	J	3,289,474	A	Jun 2, 2015	May 31, 2020	Common stock, par value $0.001	3,289,474	3,289,474	I
Warrant (right to buy)^F2	$0.01	Jun 2, 2015	J	3,289,474	A	Jun 2, 2015	May 31, 2020	Common stock, par value $0.001	3,289,474	3,289,474	I
Warrant (right to buy)	$0.76	Jun 2, 2015	D	5,777,411	D	Sep 5, 2014	Sep 5, 2017	Common stock, par value $0.001	5,777,411	0	D

F1These shares and warrants are owned by the David L. Van Andel Trust u/a dated November 30, 1993 (the "Trust"), of which the reporting person is the sole trustee and the principal beneficiary.
F2These shares and warrants are owned by Little Harbor, LLC, a Nevada limited liability company ("LH LLC"), of which the reporting person is the sole manager and a holder as sole trustee of the David L. Van Andel Trust u/a dated November 30, 1993 of 80.5% of the membership interests. The reporting person disclaims beneficial ownership of any shares held by LH LLC that would exceed his percentage interest in LH LLC.
F3The per share exercise price is subject to adjustment under certain circumstances.
F4The warrants were issued to the Trust pursuant to a Stock Purchase Agreement, dated as of June 2, 2015.
F5The number of shares issuable upon exercise of the warrant is subject to adjustment under certain circumstances.
F6The warrant was issued to LH LLC pursuant to a Stock Purchase Agreement, dated as of June 2, 2015. The reporting person disclaims beneficial ownership of any shares issuable to LH LLC under the warrant that would exceed his percentage interest in LH LLC. See Note 2.
F7The warrant was canceled by mutual agreement of the reporting person and the issuer. LH LLC was issued the warrants described above as consideration for the cancellation.