SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
LAU Tsz Ho Tony

(Last) (First) (Middle)
SUITE 1710, HARBOUR CENTRE
25 HARBOUR ROAD

(Street)
WANCHAI K3 00000

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Celsius Holdings, Inc. [ CELH ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
06/01/2021
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 06/01/2021 F V 34,579(1) A $3.73 37,676 D
Common Stock 06/01/2021 F V 61,987(2) A $4.6 99,663 D
Common Stock 06/01/2021 F V 47,345(3) A $3.48 147,008 D
Common Stock 06/01/2021 F V 2,992(4) A $3.23 150,000 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (Right to Buy) $3.73 06/01/2021 M 36,666 01/24/2020 01/24/2024 Common Stock 36,666 $0 18,334 D
Stock Option (Right to Buy) $4.6 06/01/2021 M 66,666 07/26/2019 07/26/2023 Common Stock 66,666 $0 33,334 D
Stock Option (Right to Buy) $3.48 06/01/2021 M 50,000 01/26/2018 01/16/2022 Common Stock 50,000 $0 0 D
Stock Option (Right to Buy) $3.23 06/01/2021 M 3,147 10/23/2020 10/23/2024 Common Stock 3,174 $0 51,853 D
Explanation of Responses:
1. Represents a cashless exercise of outstanding stock options to purchase 36,666 shares of common stock. The reporting person received 34,579 shares of common stock and surrendered 2,087 shares of common stock underlying the stock option underlying the stock option in payment of the exercise price.
2. Represents a cashless exercise of outstanding stock options to purchase 66,666 shares of common stock. The reporting person received 61,987 shares of common stock and surrendered 4,679 shares of common stock underlying the stock option underlying the stock option in payment of the exercise price.
3. Represents a cashless exercise of outstanding stock options to purchase 50,000 shares of common stock. The reporting person received 47,345 shares of common stock and surrendered 2,655 shares of common stock underlying the stock option underlying the stock option in payment of the exercise price.
4. Represents a cashless exercise of outstanding stock options to purchase 3,147 shares of common stock. The reporting person received 2,992 shares of common stock and surrendered 155 shares of common stock underlying the stock option underlying the stock option in payment of the exercise price.
/s/ LAU Tsz Ho Tony 06/15/2021
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.