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 |
|
1. Name and Address of Reporting Person*
(Street)
|
2. Date of Event Requiring Statement
(Month/Day/Year) 06/12/2024 |
3. Issuer Name and Ticker or Trading Symbol
Planet 13 Holdings Inc. [ PLNH ] |
|||||||||||||
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
5. If Amendment, Date of Original Filed
(Month/Day/Year) |
||||||||||||||
6. Individual or Joint/Group Filing (Check Applicable Line)
|
Table I - Non-Derivative Securities Beneficially Owned | |||
---|---|---|---|
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 Stock | 989,654(1) | I | By spouse Doris Wilson Loop |
Common Stock | 12,534,708(1) | I | By Doris Wilson Loop Irrevocable Trust |
Common Stock | 805,643(1) | I | By Loop's Nursery & Greenhouses Inc.(2) |
Common Stock | 1,049,270(1) | I | By Loop's Dispensaries Inc.(3) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
---|---|---|---|---|---|---|---|
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 |
Explanation of Responses: |
1. Shares received pursuant to Rule 16b-3(d) in connection with sale of the membership interests in VidaCann, LLC ("VidaCann") pursuant to a Membership Interest Purchase Agreement dated August 28, 2023 by and between Planet 13 Holdings Inc. ("Planet 13"), VidaCann and the parties listed thereto (the "VidaCann Acquisition"). On May 10, 2024, the closing date of the VidaCann Acquisition, the closing price of the shares of Planet 13 on the Canadian Securities Exchange was C$0.82 per share. |
2. Mr. Loop is the President/CEO of Loop's Nursery and Greenhouses Inc. ("Nursery"). Mr. Loop, through the David Loop Irrevocable Trust, has a 15% ownership interest in Nursery. Mr. Loop disclaims beneficial ownership in such shares pursuant to Rule 16a-1(a)(4) except to the extent of any pecuniary interest held therein. |
3. Mr. Loop is the President/CEO and Manager of Loop's Dispensaries LLC ("Dispensaries"). Mr. Loop has no ownership interest in Dispensaries. Mr. Loop disclaims beneficial ownership in such shares pursuant to Rule 16a-1(a)(4). |
/s/ David W Loop | 06/21/2024 | |
** 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. |