SEC Form 4 · accession 0001663577-16-000378
CLEANSPARK, INC. · CLSK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
S. Matthew Schultz
Officer — CEO · Director · 10% Owner
Period of report
Nov 4, 2016
Accepted (ET)
Nov 8, 2016 · 1:05 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000827876
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Nov 4, 2016 | C | 1,466,352 | $0.083 | A | 6,266,352 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option | $0.083 | Nov 4, 2016 | S | 1,500,000 | D | Nov 4, 2016 | Mar 10, 2025 | Common Stock | 1,500,000 | 0 | D |
Explanation of responses
- F1The Reporting Person has elected to convert 1,500,000 stock options through a cashless exercise into common stock of the Issuer.