0001185185-16-003465.txt : 20160114
0001185185-16-003465.hdr.sgml : 20160114
20160114154604
ACCESSION NUMBER: 0001185185-16-003465
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151211
FILED AS OF DATE: 20160114
DATE AS OF CHANGE: 20160114
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CLS Holdings USA, Inc.
CENTRAL INDEX KEY: 0001522222
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-MISCELLANEOUS RETAIL [5900]
IRS NUMBER: 000000000
STATE OF INCORPORATION: FL
FISCAL YEAR END: 0531
BUSINESS ADDRESS:
STREET 1: 1435 YARMOUTH STREET
CITY: BOULDER
STATE: CO
ZIP: 80304
BUSINESS PHONE: 888-438-9132
MAIL ADDRESS:
STREET 1: 1435 YARMOUTH STREET
CITY: BOULDER
STATE: CO
ZIP: 80304
FORMER COMPANY:
FORMER CONFORMED NAME: Adelt Design, Inc.
DATE OF NAME CHANGE: 20110601
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Keller Raymond M
CENTRAL INDEX KEY: 0001663630
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55546
FILM NUMBER: 161342963
MAIL ADDRESS:
STREET 1: C/O 11767 SOUTH DIXIE HIGHWAY, #115
CITY: MIAMI
STATE: FL
ZIP: 33156
3
1
form3-keller011416.xml
OWNERSHIP DOCUMENT
X0206
3
2015-12-11
0
0001522222
CLS Holdings USA, Inc.
CLSH
0001663630
Keller Raymond M
C/O 11767 SOUTH DIXIE HIGHWAY, #115
MIAMI
FL
33156
0
0
1
0
Common Stock
5000000
D
/s/ Raymond M. Keller
2015-12-22