0001185185-21-000163.txt : 20210205
0001185185-21-000163.hdr.sgml : 20210205
20210205143931
ACCESSION NUMBER: 0001185185-21-000163
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200727
FILED AS OF DATE: 20210205
DATE AS OF CHANGE: 20210205
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GLASHOW ANDREW
CENTRAL INDEX KEY: 0001267227
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55546
FILM NUMBER: 21595616
MAIL ADDRESS:
STREET 1: 1C BOWENS LANDING
CITY: NEWPORT
STATE: RI
ZIP: 02840
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CLS Holdings USA, Inc.
CENTRAL INDEX KEY: 0001522222
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-MISCELLANEOUS RETAIL [5900]
IRS NUMBER: 000000000
STATE OF INCORPORATION: NV
FISCAL YEAR END: 0531
BUSINESS ADDRESS:
STREET 1: 11767 SOUTH DIXIE HIGHWAY, SUITE 115
CITY: MIAMI
STATE: FL
ZIP: 33156
BUSINESS PHONE: 888-438-9132
MAIL ADDRESS:
STREET 1: 11767 SOUTH DIXIE HIGHWAY, SUITE 115
CITY: MIAMI
STATE: FL
ZIP: 33156
FORMER COMPANY:
FORMER CONFORMED NAME: Adelt Design, Inc.
DATE OF NAME CHANGE: 20110601
4
1
ownership.xml
X0306
4
2020-07-27
0
0001522222
CLS Holdings USA, Inc.
CLSH
0001267227
GLASHOW ANDREW
1C BOWENS LANDING
NEWPORT
RI
02840
1
1
0
0
President & COO
Common Stock
2020-07-27
4
J
0
700000
D
0
I
See Footnote
Common Stock
500000
D
The reported securities are held by Star Associates, LLC, a limited liability company previously owned by the Reporting Person. On July 27, 2020, the Reporting Person transferred 100% of his
membership interest in Star Associates, LLC, for no consideration, to a non-affiliate of the Issuer.
Represents restricted shares of the Issuer's common stock, 250,000 shares of which vested on March 1, 2020 and 250,000 of which will vest on March 1, 2021, assuming that the Reporting Person
remains employed by the Issuer on such date or has been removed by the Issuer prior to such vesting date without cause.
/s/ Andrew Glashow
2021-02-05