0001144204-15-035487.txt : 20150604 0001144204-15-035487.hdr.sgml : 20150604 20150604151237 ACCESSION NUMBER: 0001144204-15-035487 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150602 FILED AS OF DATE: 20150604 DATE AS OF CHANGE: 20150604 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TWINLAB CONSOLIDATED HOLDINGS, INC. CENTRAL INDEX KEY: 0001590695 STANDARD INDUSTRIAL CLASSIFICATION: MEDICINAL CHEMICALS & BOTANICAL PRODUCTS [2833] IRS NUMBER: 463951742 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 632 BROADWAY STREET 2: SUITE 201 CITY: NEW YORK STATE: NY ZIP: 10012 BUSINESS PHONE: (212) 651-8500 MAIL ADDRESS: STREET 1: 632 BROADWAY STREET 2: SUITE 201 CITY: NEW YORK STATE: NY ZIP: 10012 FORMER COMPANY: FORMER CONFORMED NAME: MIRROR ME, INC. DATE OF NAME CHANGE: 20131031 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: NICHOLSON WILLIAM W CENTRAL INDEX KEY: 0001344511 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55181 FILM NUMBER: 15912856 MAIL ADDRESS: STREET 1: 121 NORTH POST OAK LANE STE 2105 CITY: HOUSTON STATE: TX ZIP: 77024 4 1 v412257_form4.xml OWNERSHIP DOCUMENT X0306 4 2015-06-02 0 0001590695 TWINLAB CONSOLIDATED HOLDINGS, INC. TLCC 0001344511 NICHOLSON WILLIAM W 121 NORTH POST OAK LANE HOUSTON TX 77024 1 0 0 0 Common stock, par value $0.001 2015-06-02 4 P 0 3289474 .76 A 29879474 I owned through limited liability company Warrant (right to buy) .01 2015-06-02 4 J 0 3289474 0 A 2015-06-02 2020-05-31 Common stock, par value $0.001 3289474 3289474 I Owned through limited liability company These shares are owned by Little Harbor, LLC, a Nevada limited liability company ("LH LLC"), of which the reporting person is the holder of 19.5% of the membership interests. The reporting person disclaims beneficial ownership of any shares held by LH LLC that would exceed his percentage interest in LH LLC. The warrant was issued to LH LLC pursuant to a Stock Purchase Agreement, dated as of June 2, 2015. The reporting person disclaims beneficial ownership of any shares issuable to LH LLC under the warrant that would exceed his percentage interest in LH LLC. See Note 1. The number of shares issuable upon exercise of the warrant is subject to adjustment under certain circumstances. /s/ William W. Nicholson 2015-06-04