0001593968-22-001202.txt : 20220701
0001593968-22-001202.hdr.sgml : 20220701
20220701184354
ACCESSION NUMBER: 0001593968-22-001202
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20220701
FILED AS OF DATE: 20220701
DATE AS OF CHANGE: 20220701
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hamill Anna
CENTRAL INDEX KEY: 0001935704
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39537
FILM NUMBER: 221062725
MAIL ADDRESS:
STREET 1: C/O LAIRD SUPERFOOD, INC.
STREET 2: 275 W. LUNDGREN MILL DRIVE
CITY: SISTERS
STATE: OR
ZIP: 97759
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Laird Superfood, Inc.
CENTRAL INDEX KEY: 0001650696
STANDARD INDUSTRIAL CLASSIFICATION: FOOD & KINDRED PRODUCTS [2000]
IRS NUMBER: 474373641
STATE OF INCORPORATION: OR
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 275 W. LUNDGREN MILL DR.
CITY: SISTERS
STATE: OR
ZIP: 97759
BUSINESS PHONE: (541) 548-0577
MAIL ADDRESS:
STREET 1: 275 W. LUNDGREN MILL DR.
CITY: SISTERS
STATE: OR
ZIP: 97759
FORMER COMPANY:
FORMER CONFORMED NAME: Laird Superfood, LLC
DATE OF NAME CHANGE: 20150811
3
1
primary_01.xml
PRIMARY DOCUMENT
X0206
3
2022-07-01
0
0001650696
Laird Superfood, Inc.
LSF
0001935704
Hamill Anna
275 W LUNDGREN MILL DR
SISTERS
OR
97759-2714
false
true
false
false
Chief Financial Officer
Common Stock
7886
D
Option (right to buy)
3.17
2032-05-05
Common Stock
5882
D
Option (right to buy)
3.17
2032-05-05
Common Stock
14706
D
Represents restricted stock units granted on May 5, 2022. The restricted stock units vest as to 25% of the shares on each of the first four anniversaries of the grant date.
This stock option, granted May 5, 2022, vests on the first anniversary of the grant date.
This stock option, granted May 5, 2022, vests as to 25% of the shares on each of the first four anniversaries of the grant date.
Exhibit List: Exhibit 24 - Power of Attorney
/s/ Steven L. Richie, Attorney-in-Fact
2022-07-01
EX-24
2
hamill_poa.txt
EX-24 DOCUMENT
Power of Attorney
Know all by these presents, that the undersigned hereby makes, constitutes
and appoints Steven Richie the undersigned's true and lawful
attorney-in-fact (referred to herein as the "Attorney-in-Fact"), with full
power to act for the undersigned and in the undersigned's name, place and
stead, in any and all capacities, to:
1. Prepare, execute, and submit to the Securities and Exchange Commission
("SEC") a Form ID, including amendments thereto, and any other documents
necessary or appropriate to obtain codes and passwords enabling the
undersigned
to make electronic filings with the SEC of reports required or considered
by the
Attorney-in-Fact to be advisable under Section 16 of the Securities
Exchange Act
of 1934 (the "Exchange Act") or any rule or regulation of the SEC;
2. Prepare, execute and submit to the SEC, Laird Superfood, Inc. (the
"Company"), and/or any national securities exchange on which the Companys
securities are listed any and all reports (including any amendments
thereto) the
undersigned is required to file with the SEC, or which the Attorney-in-Fact
considers it advisable to file with the SEC, under Section 16 of the
Exchange
Act or any rule or regulation thereunder, or under Rule 144 under the
Securities
Act of 1933 ("Rule 144"), with respect to the any security of the Company,
including Forms 3, 4 and 5 and Forms 144; and
3. Obtain, as the undersigneds representative and on the undersigneds
behalf,
information regarding transactions in the Companys equity securities from
any
third party, including the Company and any brokers, dealers, employee
benefit
plan administrators and trustees, and the undersigned hereby authorizes any
such
third party to release any such information to the Attorney-in-Fact.
The undersigned acknowledges that:
a) This Power of Attorney authorizes, but does not require, the
Attorney-in-Fact
to act in his or her discretion on information provided to such
Attorney-in-Fact
without independent verification of such information;
b) Any documents prepared or executed by the Attorney-in-Fact on behalf of
the
undersigned pursuant to this Power of Attorney will be in such form and
will
contain such information as the Attorney-in-Fact, in his or her discretion,
deems necessary or desirable;
c) Neither the Company nor the Attorney-in-Fact assumes any liability for
the
undersigneds responsibility to comply with the requirements of Section 16
of the
Exchange Act or Rule 144, any liability of the undersigned for any failure
to
comply with such requirements, or any liability of the undersigned for
disgorgement of profits under Section 16(b) of the Exchange Act; and
d) This Power of Attorney does not relieve the undersigned from
responsibility
for compliance with the undersigneds obligations under Section 16 of the
Exchange Act, including, without limitation, the reporting requirements
under
Section 16 of the Exchange Act.
The undersigned hereby grants to the Attorney-in-Fact full power and
authority
to do and perform each and every act and thing requisite, necessary or
advisable
to be done in connection with the foregoing, as fully, to all intents and
purposes, as the undersigned might or could do in person, hereby ratifying
and
confirming all that the Attorney-in-Fact, or his or her substitute or
substitutes, shall lawfully do or cause to be done by authority of this
Power of
Attorney.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 4 or 5 or Forms 144 with
respect
to the undersigneds holdings of and transactions in securities of the
Company,
unless earlier revoked by the undersigned in a signed writing delivered to
the
Attorney-in-Fact. This Power of Attorney revokes all previous powers of
attorney
with respect to the subject matter of this Power of Attorney.