0001819615-22-000016.txt : 20220118 0001819615-22-000016.hdr.sgml : 20220118 20220118160519 ACCESSION NUMBER: 0001819615-22-000016 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220114 FILED AS OF DATE: 20220118 DATE AS OF CHANGE: 20220118 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kastin David CENTRAL INDEX KEY: 0001409297 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39820 FILM NUMBER: 22535214 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 1 wf-form4_164253990240966.xml FORM 4 X0306 4 2022-01-14 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 2022-01-14 4 A 0 115436 0 A 130080 D Each restricted share unit represents the contingent right to receive one common share of the Issuer. The restricted share units will vest in two equal annual installments, commencing on January 14, 2023, subject to the Reporting Person's continuous service with the Issuer through the relevant vesting dates. /s/ David Kastin 2022-01-18