Statement of Changes in Beneficial Ownership (4)
July 06 2022 - 9:40AM
Edgar (US Regulatory)
FORM 4
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0287
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
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Stanley Jared |
2. Issuer Name and Ticker or Trading Symbol
Charlotte's Web Holdings, Inc.
[
CWBHF
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) Chief Cultivation & Inov. Ofc. |
(Last)
(First)
(Middle)
1801 CALIFORNIA STREET, SUITE 4800 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
7/1/2022 |
(Street)
DENVER, CO 80202
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Shares | 7/1/2022 | | M | | 26315 | A | $0.4718 (1) | 88665 | D | |
Common Shares | 7/1/2022 | | F | | 7369 | D | $0.4718 | 81296 | D | |
Common Shares | | | | | | | | 2075798 | I | By CK&J Irrevocable Trust (2) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Restricted Stock Unit | (1) | 7/1/2022 | | M | | | 26315 | (3) | (3) | Common Shares | 26315.0 | $0 | 0 | D | |
Explanation of Responses: |
(1) | Each restricted stock unit represents a contingent right to receive one common share of Charlotte's Web Holdings, Inc. |
(2) | As Trustee of the CK&J Irrevocable Trust (the "Trust"). The reporting person and members of his immediate family are among the beneficiaries. The reporting person disclaims beneficial ownership of the Common Shares held by the Trust except to the extent of his pecuniary interest. |
(3) | The restricted stock unit agreement provides that the restricted stock unit vests in 1 equal installment on 7/1/2022. The award was granted on 2/22/2022. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Stanley Jared 1801 CALIFORNIA STREET, SUITE 4800 DENVER, CO 80202 |
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| Chief Cultivation & Inov. Ofc. |
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Signatures
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/s/ Stephen D. Rogers, Attorney-in-Fact for Jared Stanley | | 7/5/2022 |
**Signature of Reporting Person | Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Note: | File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
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