Statement of Changes in Beneficial Ownership (4)
January 06 2022 - 09:43AM
Edgar (US Regulatory)
FORM 4
[ ]
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
|
OMB
APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response... 0.5 |
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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
|
|
1. Name
and Address of Reporting Person * Young Christian
Jonathan |
2. Issuer Name and Ticker or Trading
Symbol Clubhouse Media Group, Inc. [ CMGR ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)__X__
Director _____
10% Owner
__X__ Officer (give title
below) _____ Other
(specify below)
Former Officer and Director |
(Last)
(First)
(Middle)
1744 VIRGINIA AVE |
3. Date of Earliest Transaction (MM/DD/YYYY)
11/19/2021
|
(Street)
GLENDALE, CA 91202
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
6. Individual or Joint/Group Filing
(Check Applicable Line) _X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person |
Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned
|
1.Title of Security
(Instr. 3) |
2. Trans. Date |
2A. Deemed Execution Date, if any |
3. Trans. Code
(Instr. 8) |
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following
Reported Transaction(s)
(Instr. 3 and 4) |
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4) |
7. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
Amount |
(A) or (D) |
Price |
Common Stock |
11/19/2021 |
11/23/2021 |
S |
|
14060 |
D |
$0.81 |
946000 |
D |
|
Common Stock |
11/22/2021 |
11/24/2021 |
S |
|
214961 |
D |
$0.59 |
731039 |
D |
|
Common Stock |
11/23/2021 |
11/26/2021 |
S |
|
169900 |
D |
$0.31 |
561139 |
D |
|
Common Stock |
11/24/2021 |
11/29/2021 |
S |
|
168056 |
D |
$0.26 |
393083 |
D |
|
Common Stock |
11/26/2021 |
11/30/2021 |
S |
|
20000 |
D |
$0.28 |
373083 |
D |
|
Common Stock |
11/29/2021 |
12/1/2021 |
S |
|
220500 |
D |
$0.25 |
152583 |
D |
|
Common Stock |
11/30/2021 |
12/2/2021 |
S |
|
77000 |
D |
$0.22 |
75583 |
D |
|
Common Stock |
12/1/2021 |
12/3/2021 |
S |
|
45000 |
D |
$0.23 |
30583 |
D |
|
Common Stock |
12/2/2021 |
12/6/2021 |
S |
|
30583 |
D |
$0.25 |
0 |
D |
|
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
|
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 |
Explanation of
Responses: |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
Young Christian Jonathan
1744 VIRGINIA AVE
GLENDALE, CA 91202 |
X |
|
Former Officer and Director |
|
Signatures
|
/s Christian Jonathan Young |
|
1/4/2021 |
**Signature of
Reporting Person |
Date |
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