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Clee Wellness CCrowdfunding $25K to $1.07M in Crowd Safe Units of SAFE (Simple Agreement for Future Equity)

Filed: 4 Nov 19, 5:25pm

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Form C: Filer Information

Filer CIK:	0001789369
Filer CCC:	XXXXXXXX
Is this a LIVE or TEST Filing?	LIVE TEST
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Submission Contact Information

Name:
Phone Number:
Contact E-Mail Address:
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Form C: Issuer Information

Issuer Information

Name of Issuer:

Clee Wellness LLC

Legal Status of Issuer:

Form:

Limited Liability Company

Jurisdiction of Incorporation/Organization:

NEW YORK

Date of Incorporation/Organization:

05-01-2013

Physical Address of Issuer:

Address 1:	301 COLUMBIA STREET
City:	BROOKLYN
State/Country:	NEW YORK
Mailing Zip/Postal Code:	11231
Website of Issuer:	https://provenancemeals.com

Intermediary through which the Offering will be Conducted:

CIK:	0001751525
Company Name:	OpenDeal Portal LLC
Commission File Number:	007-00167
CRD Number:	283874

Form C: Offering Information

Offering Information

Amount of compensation to be paid to the intermediary, whether as a dollar amount or a percentage of the offering amount, or a good faith estimate if the exact amount is not available at the time of the filing, for conducting the offering, including the amount of referral and any other fees associated with the offering:

6% of the amount raised in the Offering.

Any other financial interest in the issuer held by the intermediary, or any arrangement for the intermediary to acquire such an interest:

The Intermediary will receive a Security-compensation equal to 2% of the total number of Securities sold in the Offering.

Type of Security Offered:

Other

Specify:

Crowd Safe Units of SAFE (Simple Agreement for Future Equity)

Target Number of Securities to be Offered:	25000
Price:	1.00000
Price (or Method for Determining Price):	Arbitrary
Target Offering Amount:	25000.00
Maximum Offering Amount (if different from Target Offering Amount):	1070000.00

Oversubscriptions Accepted:	Yes No
If yes, disclose how oversubscriptions will be allocated:	Other
Provide a description:	At the Company's discretion
Deadline to reach the Target Offering Amount:	03-04-2020

NOTE: If the sum of the investment commitments does not equal or exceed the target offering amount at the offering deadline, no securities will be sold in the offering, investment commitments will be cancelled and committed funds will be returned.

Form C: Annual Report Disclosure Requirements

Annual Report Disclosure Requirements

Current Number of Employees:	8.00
Total Assets Most Recent Fiscal Year-end:	105026.00
Total Assets Prior Fiscal Year-end:	120505.00
Cash and Cash Equivalents Most Recent Fiscal Year-end:	35204.00
Cash and Cash Equivalents Prior Fiscal Year-end:	66345.00
Accounts Receivable Most Recent Fiscal Year-end:	0.00
Accounts Receivable Prior Fiscal Year-end:	0.00
Short-term Debt Most Recent Fiscal Year-end:	95026.00
Short-term Debt Prior Fiscal Year-end:	69190.00
Long-term Debt Most Recent Fiscal Year-end:	10000.00
Long-term Debt Prior Fiscal Year-end:	21148.00
Revenue/Sales Most Recent Fiscal Year-end:	1430801.00
Revenue/Sales Prior Fiscal Year-end:	1037732.00
Cost of Goods Sold Most Recent Fiscal Year-end:	549180.00
Cost of Goods Sold Prior Fiscal Year-end:	422818.00
Taxes Paid Most Recent Fiscal Year-end:	0.00
Taxes Paid Prior Fiscal Year-end:	0.00
Net Income Most Recent Fiscal Year-end:	76030.00
Net Income Prior Fiscal Year-end:	122393.00

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

ALABAMA

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

ALASKA

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

ARIZONA

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

ARKANSAS

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

CALIFORNIA

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COLORADO

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

CONNECTICUT

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

DELAWARE

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

DISTRICT OF COLUMBIA

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

FLORIDA

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

GEORGIA

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

HAWAII

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IDAHO

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

ILLINOIS

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INDIANA

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IOWA

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

KANSAS

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

KENTUCKY

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LOUISIANA

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

MAINE

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MARYLAND

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

MASSACHUSETTS

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

MICHIGAN

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MINNESOTA

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MISSISSIPPI

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MISSOURI

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MONTANA

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NEBRASKA

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NEVADA

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NEW HAMPSHIRE

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

NEW JERSEY

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

NEW MEXICO

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

NEW YORK

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

NORTH CAROLINA

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

NORTH DAKOTA

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

OHIO

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OKLAHOMA

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OREGON

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PENNSYLVANIA

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

PUERTO RICO

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

RHODE ISLAND

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

SOUTH CAROLINA

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SOUTH DAKOTA

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

TENNESSEE

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TEXAS

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

UTAH

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VERMONT

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VIRGINIA

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

WASHINGTON

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

WEST VIRGINIA

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

WISCONSIN

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

WYOMING

Form C: Signature

Signature

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), the issuer certifies that it has reasonable grounds to believe that it meets all of the requirements for filing on Form C and has duly caused this Form to be signed on its behalf by the duly authorized undersigned.

Issuer:

Clee Wellness LLC

Signature:

Caroll Lee

Title:

Manager

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.

Signature:

Caroll Lee

Title:

Manager

Date:

11-04-2019

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