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Celsius Holdings, Inc. Director's Dealing 2016

Oct 18, 2016

30418_dirs_2016-10-18_b5585bba-0cc1-49dd-b82e-04d53eada577.zip

Director's Dealing

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SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: Celsius Holdings, Inc. (CELH)
CIK: 0001341766
Period of Report: 2016-10-04

Reporting Person: DESANTIS CARL (10% Owner)

Holdings (Non-Derivative)

Security Shares Ownership
Common Stock 8554289 Indirect
Common Stock 1896448 Indirect

Holdings (Derivative)

Security Exercise Price Expiration Underlying Shares Ownership
Series C Convertible Preferred Stock $0.52 2018-12-31 Common Stock (4576923) Indirect
Series D Convertible Preferred Stock $0.86 2020-12-02 Common Stock (4651163) Indirect

Footnotes

F1: Carl DeSantis owns a beneficial interest of 100% in CDS Ventures of South Florida, LLC and CD Financial, LLC, which are the holders of record of the respective shares of common and preferred stock listed above.

F2: The holder of Series C and Series D Convertible Preferred Stock has the right to convert at any time until the applicable maturity date for such shares.