Filing Details

Accession Number:
0001144204-15-035482
Form Type:
4
Zero Holdings:
No
Publication Time:
2015-06-04 15:09:59
Reporting Period:
2015-06-02
Filing Date:
2015-06-04
Accepted Time:
2015-06-04 15:09:59
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1590695 Twinlab Consolidated Holdings Inc. TLCC Medicinal Chemicals & Botanical Products (2833) 463951742
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1620362 L David Andel Van 3133 Orchard Vista Drive Se
Grand Rapids MI 49546
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, Par Value $0.001 Acquisiton 2015-06-02 3,289,474 $0.76 18,515,328 No 4 P Indirect owned through a Trust
Common Stock, Par Value $0.001 Acquisiton 2015-06-02 3,289,474 $0.76 29,879,474 No 4 P Indirect owned through a limited liability company
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect owned through a Trust
No 4 P Indirect owned through a limited liability company
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock, Par Value $0.001 Warrant (right to buy) Acquisiton 2015-06-02 12,987,012 $0.00 12,987,012 $0.39
Common Stock, Par Value $0.001 Warrant (right to buy) Acquisiton 2015-06-02 3,289,474 $0.00 3,289,474 $0.01
Common Stock, Par Value $0.001 Warrant (right to buy) Acquisiton 2015-06-02 3,289,474 $0.00 3,289,474 $0.01
Common Stock, Par Value $0.001 Warrant (right to buy) Disposition 2015-06-02 5,777,411 $0.00 5,777,411 $0.76
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
12,987,012 2015-06-02 2017-09-30 No 4 J Indirect
3,289,474 2015-06-02 2020-05-31 No 4 J Indirect
3,289,474 2015-06-02 2020-05-31 No 4 J Indirect
0 2014-09-05 2017-09-05 No 4 D Direct
Footnotes
  1. These shares and warrants are owned by the David L. Van Andel Trust u/a dated November 30, 1993 (the "Trust"), of which the reporting person is the sole trustee and the principal beneficiary.
  2. These shares and warrants are owned by Little Harbor, LLC, a Nevada limited liability company ("LH LLC"), of which the reporting person is the sole manager and a holder as sole trustee of the David L. Van Andel Trust u/a dated November 30, 1993 of 80.5% of the membership interests. The reporting person disclaims beneficial ownership of any shares held by LH LLC that would exceed his percentage interest in LH LLC.
  3. The per share exercise price is subject to adjustment under certain circumstances.
  4. The warrants were issued to the Trust pursuant to a Stock Purchase Agreement, dated as of June 2, 2015.
  5. The number of shares issuable upon exercise of the warrant is subject to adjustment under certain circumstances.
  6. The warrant was issued to LH LLC pursuant to a Stock Purchase Agreement, dated as of June 2, 2015. The reporting person disclaims beneficial ownership of any shares issuable to LH LLC under the warrant that would exceed his percentage interest in LH LLC. See Note 2.
  7. The warrant was canceled by mutual agreement of the reporting person and the issuer. LH LLC was issued the warrants described above as consideration for the cancellation.