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
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
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*
ROUHANA WILLIAM J JR

(Last) (First) (Middle)
C/O CHICKEN SOUP FOR THE SOUL ENTERTAINM
132 E. PUTNAM AVENUE, FL. 2

(Street)
COS COB CT 06807

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Chicken Soup for the Soul Entertainment, Inc. [ CSSE ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
Chief Executive Officer
3. Date of Earliest Transaction (Month/Day/Year)
09/11/2023
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X 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
Class A Common Stock 09/11/2023 J(1) 403,799(1) A (1) 3,688,070 I by Chicken Soup for the Soul, LLC(2)
Class A Common Stock 510,108 I by Trema, LLC(3)
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
Class B Common Stock (4) (4) (4) Class A Common Stock 7,654,506 7,654,506 I by Chicken Soup for the Soul, LLC(2)
1. Name and Address of Reporting Person*
ROUHANA WILLIAM J JR

(Last) (First) (Middle)
C/O CHICKEN SOUP FOR THE SOUL ENTERTAINM
132 E. PUTNAM AVENUE, FL. 2

(Street)
COS COB CT 06807

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
X Director X 10% Owner
X Officer (give title below) Other (specify below)
Chief Executive Officer
1. Name and Address of Reporting Person*
Chicken Soup for the Soul Holdings, LLC

(Last) (First) (Middle)
C/O CHICKEN SOUP FOR THE SOUL ENTERTAINM
132 E. PUTNAM AVENUE, FL. 2

(Street)
COS COB CT 06807

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Chicken Soup for the Soul Productions, LLC

(Last) (First) (Middle)
C/O CHICKEN SOUP FOR THE SOUL ENTERTAINM
132 E. PUTNAM AVENUE, FL. 2

(Street)
COS COB CT 06807

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. Represents shares of the Issuer's Class A common stock issued to Chicken Soup for the Soul, LLC pursuant to the CSS Agreements Modification dated March 30, 2023.
2. Chicken Soup for the Soul, LLC, immediate parent of the Issuer, is an entity controlled by reporting person, William J. Rouhana, Jr., the Chief Executive Officer and a Director of the Issuer. This entity was formerly known as Chicken Soup for the Soul Productions, LLC. Chicken Soup for the Soul, LLC is owned by Chicken Soup for the Soul Holdings, LLC, which is also an entity controlled by Mr. Rouhana.
3. Trema, LLC is an entity controlled by Mr. Rouhana.
4. The Class B Common Stock is convertible into the Issuer's Class A Common Stock as described under the heading "Description of Securities - Common Stock" in the Issuer's offering statement on Form 1-A (File No. 024-10704). The Class B Common Stock has no expiration date.
William J. Rouhana, Jr. 09/12/2023
William J. Rouhana, Jr., as managing member of Chicken Soup for the Soul, LLC fka Chicken Soup for the Soul Productions, LLC 09/12/2023
William J. Rouhana, Jr., as managing member of Chicken Soup for the Soul Holdings, LLC 09/12/2023
** 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.