0001628280-22-001383.txt : 20220127 0001628280-22-001383.hdr.sgml : 20220127 20220127163308 ACCESSION NUMBER: 0001628280-22-001383 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210701 FILED AS OF DATE: 20220127 DATE AS OF CHANGE: 20220127 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kastin David CENTRAL INDEX KEY: 0001409297 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-39820 FILM NUMBER: 22563617 MAIL ADDRESS: STREET 1: C/O VITAMIN SHOPPE, INC. CITY: SECAUCUS STATE: NJ ZIP: 07094 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Clever Leaves Holdings Inc. CENTRAL INDEX KEY: 0001819615 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: A1 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6501 CONGRESS AVE STREET 2: SUITE 240 CITY: BOCA RATON STATE: FL ZIP: 33487 BUSINESS PHONE: 646-880-4382 MAIL ADDRESS: STREET 1: 6501 CONGRESS AVE STREET 2: SUITE 240 CITY: BOCA RATON STATE: FL ZIP: 33487 4/A 1 wf-form4a_164331916892627.xml FORM 4/A X0306 4/A 2021-07-01 2021-07-02 0 0001819615 Clever Leaves Holdings Inc. CLVR 0001409297 Kastin David C/O CLEVER LEAVES HOLDINGS 6501 CONGRESS AVE BOCA RATON FL 33487 0 1 0 0 General Counsel Common shares 61321 D On July 2, 2021, the Reporting Person filed a Form 4 which inadvertently reported in Column 5 of Table I that, following the transactions described therein, he directly owned 16,321 common shares. In fact, as reported in this amendment, the Reporting Person directly owned 61,321 common shares at that time. All Forms 4 subsequently filed by the Reporting Person until the date of this amendment inadvertently underreported the figure in Column 5 of Table I by the same 45,000 common share difference. As of the date of this amendment, the Reporting Person directly owns 175,080 common shares. /s/ David Kastin 2022-01-27