Filing Details

Accession Number:
0001443194-19-000002
Form Type:
4
Zero Holdings:
No
Publication Time:
2019-09-12 17:41:25
Reporting Period:
2019-01-17
Accepted Time:
2019-09-12 17:41:25
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1341766 Celsius Holdings Inc. CELH Bottled & Canned Soft Drinks & Carbonated Waters (2086) 202745790
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1443194 H. William Milmoe 3299 N.w. 2Nd Avenue
Boca Raton FL 33431
Yes No Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2019-01-17 39,011 $0.80 21,475,906 No 5 F Indirect See Footnote
Common Stock Acquisiton 2019-09-12 500,000 $3.60 21,975,906 No 4 P Indirect See Footnote
Common Stock Acquisiton 2019-09-12 1,492,385 $3.39 23,468,291 No 5 C Indirect See Footnote
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 5 F Indirect See Footnote
No 4 P Indirect See Footnote
No 5 C Indirect See Footnote
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Stock Option (Right to Buy) Disposition 2019-01-17 50,000 $0.00 50,000 $0.80
Common Stock Stock Option (Right to Buy) Acquisiton 2019-01-24 50,000 $0.00 50,000 $3.73
Common Stock Convertible Note Disposition 2019-09-12 1,492,385 $5,000,000.00 1,492,385 $3.39
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
180,000 2015-04-24 2019-04-24 No 5 M Direct
230,000 2029-01-24 No 5 A Direct
0 2018-12-14 2020-12-14 No 5 C Indirect
Footnotes
  1. Represents a "net exercise" of outstanding stock options to purchase 50,000 shares of common stock. The reporting person received 39,011 shares of common stock and surrendered 10,989 shares of common stock underlying the options in payment of the exercise price.
  2. A total of 134,611 shares of common stock are held individually by Mr. Milmoe. The balance are held by CD Financial, LLC and CDS Ventures of South Florida, LLC. Mr. Milmoe is a Manager of both entities.
  3. Represents the conversion of the outstanding principal and interest under that certain convertible promissory note previously issued to CD Financial, LLC on December 14, 2018.
  4. The stock options vest in three equal installments beginning on January 24, 2020.