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