SEC Form 3
FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 10/09/2023 |
3. Issuer Name and Ticker or Trading Symbol
Charlotte's Web Holdings, Inc. [ CWBHF ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Shares | 25,131 | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Stock Option (right to buy) | 03/26/2022(1) | 03/26/2031 | Common Shares | 6,532 | 4.7 | D | |
Restricted Stock Unit | (2) | (2) | Common Shares | 20,062 | (3) | D | |
Restricted Stock Unit | (4) | (4) | Common Shares | 2,393 | (3) | D | |
Restricted Stock Unit | (5) | (5) | Common Shares | 39,216 | (3) | D | |
Restricted Stock Unit | (6) | (6) | Common Shares | 11,667 | (3) | D | |
Restricted Stock Unit | (7) | (7) | Common Shares | 23,179 | (3) | D | |
Stock Option (right to buy) | 02/11/2023(8) | 02/11/2032 | Common Shares | 52,500 | 1.56 | D | |
Stock Option (right to buy) | 04/01/2024(9) | 04/01/2033 | Common Shares | 60,186 | 0.32 | D |
Explanation of Responses: |
1. The option agreement provides that the option becomes exercisable in 3 equal annual installments beginning on the first anniversary of the option's grant date. The option was granted on 03/26/2021. 3,352 options are currently vested. |
2. The restricted stock unit agreement provides that the restricted stock unit vests in 3 equal annual installments beginning on the first anniversary of the restricted stock unit's grant date. The restricted stock unit was granted on 4/1/2023. |
3. Each restricted stock unit represents a contingent right to receive one common share of Charlotte's Web Holdings, Inc. |
4. The restricted stock unit agreement provides that the restricted stock unit vests in 3 equal annual installments beginning on the first anniversary of the restricted stock unit's grant date. The restricted stock unit was granted on 03/26/2021 as 4,787 units, 2,394 units have already vested. |
5. The restricted stock unit agreement provides that the restricted stock unit vests in 1 installment on the first anniversary of the restricted stock unit's grant date. The restricted stock unit was granted on 12/22/2022. |
6. The restricted stock unit agreement provides that the restricted stock unit vests in 3 equal annual installments beginning on the first anniversary of the restricted stock unit's grant date. The restricted stock unit was granted on 02/11/2022 as 17,500 units, 5,833 units have already vested. |
7. The restricted stock unit agreement provides that the restricted stock unit vests in 1 installment on the second anniversary of the restricted stock unit's grant date. The restricted stock unit was granted on 11/19/2021. |
8. The option agreement provides that the option becomes exercisable in 3 equal annual installments beginning on the first anniversary of the option's grant date. The option was granted on 02/11/2022. 17,500 options are currently vested. |
9. The option agreement provides that the option becomes exercisable in 3 equal annual installments beginning on the first anniversary of the option's grant date. The option was granted on 04/01/2023. |
Remarks: |
/s/ Stephen D. Rogers, Attorney in Fact for Raymond Kunkel | 10/13/2023 | |
** 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 5 (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. |