SEC Form 4 · accession 0001144204-15-054607

TWINLAB CONSOLIDATED HOLDINGS, INC. · TLCC

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

A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).

Reporting owner

Director · 10% Owner

Period of report

Sep 10, 2015

Accepted (ET)

Sep 11, 2015 · 2:47 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	Sep 10, 2015	X	12,987,012	$0.385	A	31,502,340	I	owned through a Trust

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Warrant (right to buy)^F2,F1	$0.385	Sep 10, 2015	X	12,987,012	D	Jun 2, 2015	Sep 30, 2017	Common stock, par value $0.001	12,987,012	0	I

F1These shares and warrant 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.
F2The warrant was issued to the Trust pursuant to a Stock Purchase Agreement, dated as of June 2, 2015.