0001520138-15-000269.txt : 20150601 0001520138-15-000269.hdr.sgml : 20150601 20150601151936 ACCESSION NUMBER: 0001520138-15-000269 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150519 FILED AS OF DATE: 20150601 DATE AS OF CHANGE: 20150601 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: Pastor Darin Richard CENTRAL INDEX KEY: 0001584301 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55181 FILM NUMBER: 15903079 MAIL ADDRESS: STREET 1: 2600 MICHELSON DRIVE STREET 2: SUITE 700 CITY: IRVINE STATE: CA ZIP: 92612 4 1 form4.xml OWNERSHIP DOCUMENT X0306 4 2015-05-19 0 0001590695 TWINLAB CONSOLIDATED HOLDINGS, INC. TLCC 0001584301 Pastor Darin Richard 8600 TRANSIT ROAD EAST AMHERST NY 14051 0 0 1 0 Common Stock 2015-05-19 4 S 0 263157 0.76 D 15446165 I By corporation Common Stock 2015-05-21 4 S 0 855263 0.76 D 14590902 I By corporation Common Stock 2015-05-28 4 S 0 138157 0.76 D 14452745 I By corporation Put option (right to sell) 0.775 2015-05-28 4 P 0 51973684 0 A 2015-03-28 2017-10-31 Common Stock, par value $0.001 51973684 0 I By corporation Series A Warrant (right to buy) 0.76 2015-05-28 4 S 0 51973684 0 D 2014-10-01 2017-10-31 Common Stock, par value $0.001 51973684 0 I By corporation Series B Warrant (right to buy) 0.76 2015-05-28 4 S 0 4368421 0 D 2014-10-01 2017-10-31 Common Stock, par value $0.001 4368421 18000000 I By corporation Contingent Call Option (right to buy) 0.01 2015-05-28 4 S 0 1000000 0 D 2016-04-01 2016-05-01 Common Stock, par value $0.001 1000000 1000000 I By corporation Contingent Call Option (right to buy) 0.01 2015-05-28 4 S 0 1500000 0 D 2016-08-01 2016-08-31 Common Stock, par value $0.001 1500000 1500000 I By corporation Contingent Call Option (right to buy) 0.01 2015-05-28 4 S 0 1500000 0 D 2016-12-01 2016-12-31 Common Stock, par value $0.001 1500000 1500000 I By corporation In addition, Capstone Financial Group, Inc. exercised third-party call options for at least a further 1,498,500 shares on February 23, 2015, but the optionors of such shares have not yet honored the exercise. When they do, this Form 4 will be amended to reflect the additional shares. For further information regarding these transactions and the securities involved, please refer to the Current Report on Form 8-K filed by Capstone Financial Group, Inc. on May 29, 2015. As a part of this transaction, the remaining warrants were deemed to be divided into four tranches, each with an associated date beyond which it would no longer be exercisable: one tranche for 2,000,000 warrant shares (no longer exercisable after November 30, 2015); one tranche for 4,000,000 warrant shares (no longer exercisable after March 31, 2016); one tranche for 6,000,000 warrant shares (no longer exercisable after July 31, 2016); and another tranche for 6,000,000 warrant shares (no longer exercisable after November 30, 2016). For further information, please refer to the Current Report on Form 8-K filed by Capstone Financial Group, Inc. on May 29, 2015. All securities reported on this Form 4 are owned directly by Capstone Financial Group, Inc. and indirectly by Darin Richard Pastor, the CEO and majority stockholder of Capstone. Capstone is filing a separate Form 4 to reflect these same transactions. /s/ Darin Richard Pastor 2015-06-01