Filing Details

Accession Number:
0001222097-10-000002
Form Type:
4
Zero Holdings:
No
Publication Time:
2010-01-07 12:00:00
Reporting Period:
2009-12-01
Filing Date:
2010-01-07
Accepted Time:
2010-01-07 11:51:19
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1341766 Celsius Holdings Inc. CSUHD 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 No 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 2010-01-07 0 $0.00 500 No 4 P Direct
Common Stock Acquisiton 2009-12-23 434,300 $1.00 489,920 No 4 C Indirect See note 2
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
No 4 C Indirect See note 2
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series B Preferred Stock Disposition 2009-12-23 0 $1,000.00 434,300 $1.00
Common Stock Series A Preferred Stock Acquisiton 2009-12-31 1 $1.60 13,750 $1.60
Common Stock Convertible note Acquisiton 2009-12-01 0 $4.60 21,739 $4.60
Common Stock Convertible note Acquisiton 2009-12-21 0 $4.60 10,417 $4.80
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 2009-05-01 2013-12-31 No 4 C Indirect
0 2009-12-31 2013-02-01 No 4 J Indirect
0 2009-12-01 2012-09-08 No 4 P Indirect
0 2009-12-21 2012-09-08 No 4 P Indirect
Footnotes
  1. Showing number of shares owned directly on separate line
  2. William Milmoe, an individual, holds beneficial ownership of 10% of the 559,201 shares of common stock, which is held by CD Financial, LLC, and beneficially holds as indicated in Table II) 10% of 4,343,000 shares of common stock, which are held by CDS Ventures of South Florida, LLC, the beneficial ownership of which is held by CD Financial, LLC of which William Milmoe holds 10% beneficial ownership.
  3. The amount of 0 derivative securities is only for Series B Preferred Shares, and it does not include other preferred shares or convertible debt
  4. Dividend of Series A Convertible Preferred Stock
  5. William Milmoe, an individual, holds beneficial ownership of 10% of the $3,301,000 of Series A Convertible Preferred Stock, which are held by CDS Ventures of South Florida, LLC, the beneficial ownership of which is held by CD Financial, LLC of which William Milmoe holds 10% beneficial ownership.
  6. The $330,100 of Series A Convertible Preferred Stock is convertible into a maximum of 206,313 shares of common stock.
  7. William Milmoe, an individual, holds beneficial ownership of 10% of the convertible debt.
  8. William Milmoe, an individual, holds beneficial ownership of 10% of the $1,000,000 convertible debt (which is convertible into common stock as indicated in Table II) which are held by CDS Ventures of South Florida, LLC, the beneficial ownership of which is held by CD Financial, LLC of which William Milmoe holds 10% beneficial ownership.
  9. William Milmoe, an individual, holds beneficial ownership of 10% of the $500,000 convertible debt (which is convertible into common stock as indicated in Table II) which are held by CDS Ventures of South Florida, LLC, the beneficial ownership of which is held by CD Financial, LLC of which William Milmoe holds 10% beneficial ownership.
  10. In total, William Milmoe is the beneficial owner of 16.505 shares of Series A Convertible Preferred Stock, convertible into a maximum of 206,313 shares of common stock, and he is also the beneficial owner of $550,000 of convertible debt, which at yesterday's market rate of $5.05 would be convertible into 108,911 shares of common stock. The two types of derivative securities totals into 315,224 shares of common stock.