0001493152-21-027815.txt : 20211110
0001493152-21-027815.hdr.sgml : 20211110
20211110143921
ACCESSION NUMBER: 0001493152-21-027815
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210817
FILED AS OF DATE: 20211110
DATE AS OF CHANGE: 20211110
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Campbell Michael
CENTRAL INDEX KEY: 0001476255
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-50331
FILM NUMBER: 211396057
MAIL ADDRESS:
STREET 1: 11753 WILLARD AVENUE
CITY: TUSTIN
STATE: CA
ZIP: 92782
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CalEthos, Inc.
CENTRAL INDEX KEY: 0001174891
STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798]
IRS NUMBER: 000000000
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: THREE SUGAR CREEK CENTER
STREET 2: SUITE 100
CITY: SUGAR LAND
STATE: TX
ZIP: 77478
BUSINESS PHONE: 713-929-3863
MAIL ADDRESS:
STREET 1: THREE SUGAR CREEK CENTER
STREET 2: SUITE 100
CITY: SUGAR LAND
STATE: TX
ZIP: 77478
FORMER COMPANY:
FORMER CONFORMED NAME: RealSource Residential, Inc
DATE OF NAME CHANGE: 20130814
FORMER COMPANY:
FORMER CONFORMED NAME: UPSTREAM BIOSCIENCES INC.
DATE OF NAME CHANGE: 20090422
FORMER COMPANY:
FORMER CONFORMED NAME: FORCE ENERGY CORP.
DATE OF NAME CHANGE: 20090415
4
1
ownership.xml
X0306
4
2021-08-17
0
0001174891
CalEthos, Inc.
BUUZ
0001476255
Campbell Michael
11753 WILLARD AVENUE
TUSTIN
CA
92782
1
1
1
0
Chief Executive Officer
Restricted Stock Award
0
2021-08-17
4
A
0
1500000
0
A
Common Stock
1500000
1500000
I
See Footnote
50% of the Restricted Shares shall vest upon the achievement of certain Company milestones, and the remaining 50% of the Restricted Shares shall vest upon the sooner of (i) the achievement of certain additional Company milestones, or (ii) six months after the completion of the milestones that the vesting of the initial 50% are based on. Details regarding the vesting of the Restricted shares are more fully described in the RestrictedShare Award agreement, which was filed as Exhibit 4.3 to the Company's Form 8-K filed on August 17, 2021
The Restricted Shares shall be cancelled upon the termination of M1 Advisors LLC consulting relationship with the Company for Cause, or if M1 Advisors LLC voluntarily terminates its consulting relationship with the Company or such relationship is terminated due to disability or death prior to the vesting of all or any portion of the Restricted Shares awarded under the Restricted Share Award Agreement.
The reported securities are owned by M1 Advisors LLC, a company of which the reporting person is a principal member. The reporting person disclaims beneficial ownership of these securities, expect to the extent of his pecuniary interest therein.
/s/ Michael Campbell
2021-11-10