SEC Form 4/A · accession 0001144204-15-057187

TWINLAB CONSOLIDATED HOLDINGS, INC. · TLCC

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

This is an amendment (Form 4/A). It replaces an earlier filing for the same period.

Reporting owner

Director · 10% Owner

Period of report

Sep 10, 2015

Accepted (ET)

Sep 29, 2015 · 4:42 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
Put Option (right to sell)^F4,F1,F3	$0.385	Sep 10, 2015	P	1	A	Oct 15, 2015	Mar 15, 2016	Common stock, par value $0.001	12,987,012	1	I

F1These shares, warrant and put 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.
F3The Put Option terminates upon the earlier of (a) the Issuer's closing of the transaction to purchase the equity interests of Organic Holdings, LLC pursuant to the Unit Purchase Agreement previously referenced in the Current Report on Form 8-K filed by the Issuer with the Securities and Exchange Commission on August 19, 2015, as the same may be amended by the parties thereto; (b) the purchase by one or more investors of the Issuer's common stock, in an aggregate amount of at least $25,000,000, including both the purchase price paid for any common stock as well as the exercise price of any contingent warrants issued in connection therewith, assuming full exercise thereof; or (c) March 15, 2016.
F4The Put Option was issued to the Trust (i) pursuant to a Put Agreement Related To Exercise of Warrant 2015-17, dated as of September 9, 2015, and (ii) in accordance with the exercise of the warrant disclosed herein.