SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Koretsky Frank

(Last) (First) (Middle)
11767 SOUTH DIXIE HIGHWAY, #115

(Street)
MIAMI FL 33156

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
CLS Holdings USA, Inc. [ CLSH ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
03/12/2018
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 03/12/2018 M 50,685 A $0.3125 1,921,673 I(1) See Footnote
Common Stock 03/12/2018 M 9,027 A $0.3125 1,930,700 I(1) See Footnote
Common Stock 03/12/2018 M 427,187 A $0.3125 2,357,887 I(1) See Footnote
Common Stock 03/12/2018 M 2,173,088 A $0.3125 4,530,975 I(1) See Footnote
Common Stock 03/12/2018 M 236,810 A $0.3125 4,767,785 I(1) See Footnote
Common Stock 03/12/2018 M 100,525 A $0.3125 4,868,310 I(1) See Footnote
Common Stock 03/12/2018 M 377,898 A $0.3125 5,246,208 I(1) See Footnote
Common Stock 03/12/2018 M 29,786 A $0.3125 12,127,050 D
Common Stock 03/12/2018 M 71,091 A $0.3125 12,198,141 D
Common Stock 03/12/2018 M 50,307 A $0.3125 12,248,448 D
Common Stock 03/12/2018 M 27,805 A $0.3125 12,276,253 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Convertible Promissory Note $0.3125 03/12/2018 M $15,839(2) 01/10/2017 (3) Common Stock 50,685 $0.3125 0 I(1) See Footnote
Convertible Promissory Note $0.3125 03/12/2018 M $2,821(2) 01/10/2017 (3) Common Stock 9,027 $0.3125 0 I(1) See Footnote
Convertible Promissory Note $0.3125 03/12/2018 M $133,496 03/31/2017 (4) Common Stock 427,187 $0.3125 0 I(1) See Footnote
Convertible Promissory Note $0.3125 03/12/2018 M $679,090 08/23/2017 (5) Common Stock 2,173,088 $0.3125 0 I(1) See Footnote
Convertible Promissory Note $0.3125 03/12/2018 M $74,003 08/23/2017 (5) Common Stock 236,810 $0.3125 0 I(1) See Footnote
Convertible Promissory Note $0.3125 03/12/2018 M $31,414 10/09/2017 (6) Common Stock 100,525 $0.3125 0 I(1) See Footnote
Convertible Promissory Note $0.3125 03/12/2018 M $118,093 01/05/2018 (7) Common Stock 377,898 $0.3125 0 I(1) See Footnote
Convertible Promissory Note $0.3125 03/12/2018 M $9,308(8) 08/03/2016 (9) Common Stock 29,786 $0.3125 0 D
Convertible Promissory Note $0.3125 03/12/2018 M $22,216(2) 01/12/2016 (10) Common Stock 71,091 $0.3125 0 D
Convertible Promissory Note $0.3125 03/12/2018 M $15,721(2) 04/11/2016 (11) Common Stock 50,307 $0.3125 0 D
Convertible Promissory Note $0.3125 03/12/2018 M $8,689(2) 07/26/2016 (12) Common Stock 27,805 $0.3125 0 D
Explanation of Responses:
1. Owned by Newcan Investment Partners LLC, an entity wholly owned by the Reporting Person.
2. Represents conversion of remaining unpaid interest that accrued on a convertible promissory note that was converted on May 31, 2017.
3. The Note is convertible, at the election of the Reporting Person, at any time prior to payment or prepayment in full and matures on January 2, 2020.
4. The Note is convertible, at the election of the Reporting Person, at any time prior to payment or prepayment in full and matures on April 1, 2020.
5. The Note is convertible, at the election of the Reporting Person, at any time prior to payment or prepayment in full and matures on August 22, 2020.
6. The Note is convertible, at the election of the Reporting Person, at any time prior to payment or prepayment in full and matures on October 8, 2020.
7. The Note is convertible, at the election of the Reporting Person, at any time prior to payment or prepayment in full and matures on April 1, 2021.
8. Represents conversion of remaining unpaid interest that accrued on a convertible promissory note held by CLS Co 2016, LLC, an entity of which the Reporting Person is a member, that was converted on May 31, 2017. Since CLS Co 2016, LLC's acquisition of this convertible note, the Reporting Person has taken a controlling position in this entity and shares issued upon conversion were issued in the name of the Reporting Person.
9. The Note is convertible, at the election of the Reporting Person, at any time prior to payment or prepayment in full and matures on August 1, 2018.
10. The Note is convertible, at the election of the Reporting Person, at any time prior to payment or prepayment in full and matures on January 1, 2019.
11. The Note is convertible, at the election of the Reporting Person, at any time prior to payment or prepayment in full and matures on April 1, 2019.
12. The Note is convertible, at the election of the Reporting Person, at any time prior to payment or prepayment in full and matures on July 1, 2019.
/s/ Frank Koretsky 03/14/2018
** 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 4 (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).
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