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