Report of Proposed Sale of Securities (144)
January 05 2022 - 09:35AM
Edgar (US Regulatory)
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UNITED STATES |
OMB APPROVAL |
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SECURITIES AND EXCHANGE COMMISSION |
OMB Number: |
3235-0101 |
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Washington, D.C. 20549 |
Expires: |
June 30, 2020 |
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Estimated average burden |
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hours per response |
1.00 |
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FORM 144 |
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NOTICE OF PROPOSED SALE OF SECURITIES |
SEC USE ONLY |
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PURSUANT TO RULE 144 UNDER THE SECURITIES ACT OF 1933 |
DOCUMENT SEQUENCE NO. |
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CUSIP NUMBER |
ATTENTION: |
Transmit for filing 3 copies of this form concurrently with either
placing an order with a broker to execute sale |
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or executing a sale directly with a market maker. |
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WORK LOCATION |
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1(a) Name of Issuer |
(b) IRS Ident. No. |
(c) SEC File No. |
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Clubhouse Media Group, Inc. |
99-0364697 |
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(e) Telephone No. |
1(d) Address of Issuer |
Street |
City |
State |
Zip Code |
Area Code |
Number |
3651 |
Lyndell Road |
Las Vegas |
NV |
89103 |
702 |
4793016 |
2(a) Name of Person for Whose Account the Securities are to be
Sold |
(b) Relationship to Issuer |
(c) Address (street) |
City |
State |
Zip Code |
Christian Jonathan Young |
Former Officer and Director |
1544 Virginia Avenue |
Glendale |
CA |
91202 |
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INSTRUCTION: The person filing this notice should contact the
issuer to obtain the I.R.S. Identification Number and the S.E.C.
File Number. |
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3 (a) |
(b) |
SEC USE |
(c) |
(d) |
(e) |
(f) |
(g) |
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Name and Address of |
ONLY |
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Each Broker Through |
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Title of the |
Whom the Securities |
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Number of |
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Number of Shares |
Approximate |
Name of Each |
Class of |
are to be Offered or Each |
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Shares or Other |
Aggregate |
or Other Units |
Date of Sale |
Securities |
Securities |
Market Maker Who is |
Broker-Dealer |
Units to be Sold |
Market Value |
Outstanding |
(See instr. 3(f)) |
Exchange |
To Be Sold |
Acquiring the Securities |
File Number |
(See instr. 3(c)) |
(See instr. 3(d)) |
(See instr. 3(e)) |
(MO. DAY YR.) |
(See instr. 3(g)) |
COMMON |
Comerica Securities, Inc. 411 West Lafayette Detroit, MI 48226 |
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960060 |
331205 |
96687499 |
11/26/2021 |
Other |
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INSTRUCTIONS: |
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1. (a) |
Name of
issuer |
3. (a) |
Title of the class of securities to be sold |
(b) |
Issuer’s I.R.S. Identification Number |
(b) |
Name and address of each broker through whom the securities are
intended to be sold |
(c) |
Issuer’s S.E.C. file number, if any |
(c) |
Number of shares or other units to be sold (if debt securities,
give the aggregate face amount) |
(d) |
Issuer’s address, including zip code |
(d) |
Aggregate market value of the securities to be sold as of a
specified date within 10 days prior to the |
(e) |
Issuer’s telephone number, including area code |
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filing of this notice |
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(e) |
Number of shares or other units of the class outstanding, or if
debt securities the face amount thereof |
2. (a) |
Name of
person for whose account the securities are to be sold |
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outstanding, as shown by the most recent report or statement
published by the issuer |
(b) |
Such
person’s relationship to the issuer (e.g., officer, director, |
(f) |
Approximate date on which the securities are to be sold |
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10
percent stockholder, or member of immediate family of |
(g) |
Name of each securities exchange, if any, on which the securities
are intended to be sold |
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any of the foregoing) |
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(c) |
Such
person’s address, including zip code |
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Potential persons who are to respond to the collection of
information contained in this form are not required |
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to respond unless the form displays a currently valid OMB control
number. |
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SEC 1147 (08-07) |
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TABLE I — SECURITIES TO BE SOLD |
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Furnish the following information with respect to the acquisition
of the securities to be sold |
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and with respect to the payment of all or any part of the purchase
price or other consideration therefor: |
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Name of Person From |
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Title of |
Date You |
Name of Acquisition |
Whom Acquired (If gift, |
Amount of |
Date of |
Nature |
the Class |
Acquired |
Transaction |
also give date donor acquired) |
Securities Acquired |
Payment |
of Payment |
COMMON |
11/12/2020 |
Stock Award |
Clubhouse Media Group, Inc. |
700000 |
11/4/2021 |
Compensation |
COMMON |
11/12/2020 |
Stock Award |
Clubhouse Media Group, Inc. |
246000 |
11/4/2021 |
Compensation |
COMMON |
11/12/2020 |
Stock Award |
Clubhouse Media Group, Inc. |
14060 |
11/4/2021 |
Compensation |
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INSTRUCTIONS: |
If the
securities were purchased and full payment therefor was not made in
cash at the time of purchase, explain in the table or in a note
thereto the nature of the |
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consideration given. If the consideration consisted of any note or
other obligation, or if payment was made in installments describe
the arrangement and state when |
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the
note or other obligation was discharged in full or the last
installment paid. |
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TABLE II — SECURITIES SOLD DURING THE PAST 3 MONTHS |
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Furnish the following information as to all securities of the
issuer sold during the past 3 months |
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by the person for whose account the securities are to be sold. |
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Name and Address of the Seller |
Title of Securities Sold |
Date of Sale |
Amount of Securities Sold |
Gross Proceeds |
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Remarks: |
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INSTRUCTIONS: |
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ATTENTION: |
See the
definition of “person” in paragraph (a) of Rule 144. Information is
to be given not |
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The person for whose account the securities to which this notice
relates are to be sold |
only as
to the person for whose account the securities are to be sold but
also as to all |
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hereby represents by signing this notice that he does not know any
material adverse |
other
persons included in that definition. In addition, information shall
be given as to |
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information in regard to the current and prospective operations of
the Issuer of the securities |
sales
by all persons whose sales are required by paragraph (e) of Rule
144 to be aggregated |
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to be sold which has not been publicly disclosed. If such person
has adopted a written |
with
sales for the account of the person filing this notice. |
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trading plan or given trading instructions to satisfy Rule 10b5-1
under the Exchange Act, |
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by signing the form and indicating the date that the plan was
adopted or the instruction |
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given, that person makes such representation as of the plan
adoption or instruction date. |
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1/4/2021 |
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/s Christian Jonathan Young |
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DATE OF NOTICE |
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(SIGNATURE) |
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The notice shall be signed by the person for whose account the
securities |
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DATE OF PLAN ADOPTION OR GIVING OF INSTRUCTION, |
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are to be sold. At least one copy of the notice shall be manually
signed. |
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IF RELYING ON RULE 10B5-1. |
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Any copies not manually signed shall bear typed or printed
signatures. |
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ATTENTION: Intentional misstatements or omission of facts
constitute Federal Criminal Violations (See 18 U.S.C. 1001) |
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SEC 1147 (02-08) |
Clubhouse Media (PK) (USOTC:CMGR)
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