Statement of Changes in Beneficial Ownership (4)
June 15 2021 - 5:55PM
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).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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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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HARRINGTON KEVIN |
2. Issuer Name and Ticker or Trading Symbol
Celsius Holdings, Inc.
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CELH
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
14044 ICOT BLVD. |
3. Date of Earliest Transaction
(MM/DD/YYYY)
1/4/2021 |
(Street)
CLEARWATER,, FL 33760
(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 Stock | 1/4/2021 | | A |
V
| 3097 | A | $0 (1) | 23808 | D | |
Common Stock | 2/9/2021 | | F |
V
| 15201 (2) | A | $5.64 | 39009 | D | |
Common Stock | 2/9/2021 | | F |
V
| 17267 (3) | A | $3.73 | 56276 | D | |
Common Stock | 2/9/2021 | | F |
V
| 17410 (4) | A | $3.23 | 73686 | D | |
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 |
Stock Option (Right to Buy) | $5.64 | 2/9/2021 | | M |
V
| | 16667 | 2/7/2019 | 2/7/2023 | Common Stock | 16667 | $0 | 0 | D | |
Stock Option (Right to Buy) | $3.73 | 2/9/2021 | | M |
V
| | 18333 | 1/24/2020 | 1/24/2024 | Common Stock | 18333 | $0 | 13334 | D | |
Stock Option (Right to Buy) | $3.23 | 2/9/2021 | | M |
V
| | 18333 | 10/23/2020 | 10/23/2024 | Common Stock | 18333 | $0 | 31667 | D | |
Explanation of Responses: |
(1) | The reporting person was granted 3,097 shares of common stock under the issuer's 2015 Stock Incentive Plan. |
(2) | Represents a cashless exercise of outstanding stock options to purchase 16,667 shares of common stock. The reporting person received 15,201 shares of common stock and surrendered 1,466 shares of common stock underlying the stock option in payment of the exercise price. |
(3) | Represents a cashless exercise of outstanding stock options to purchase 18,333 shares of common stock. The reporting person received 17,267 shares of common stock and surrendered 1,066 shares of common stock underlying the stock option in payment of the exercise price. |
(4) | Represents a cashless exercise of outstanding stock options to purchase 18,333 shares of common stock. The reporting person received 17,410 shares of common stock and surrendered 923 shares of common stock underlying the stock option in payment of the exercise price. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
HARRINGTON KEVIN 14044 ICOT BLVD. CLEARWATER,, FL 33760 | X |
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Signatures
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/s/ Kevin Harrington | | 6/15/2021 |
**Signature of Reporting Person | Date |
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