0001144204-15-057821.txt : 20151002 0001144204-15-057821.hdr.sgml : 20151002 20151002102708 ACCESSION NUMBER: 0001144204-15-057821 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150930 FILED AS OF DATE: 20151002 DATE AS OF CHANGE: 20151002 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: Little Harbor LLC CENTRAL INDEX KEY: 0001620395 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55181 FILM NUMBER: 151138763 BUSINESS ADDRESS: STREET 1: 3133 ORCHARD VISTA DRIVE SE CITY: GRAND RAPIDS STATE: MI ZIP: 49546 BUSINESS PHONE: 616-942-3267 MAIL ADDRESS: STREET 1: 3133 ORCHARD VISTA DRIVE SE CITY: GRAND RAPIDS STATE: MI ZIP: 49546 4 1 v421357_form4.xml OWNERSHIP DOCUMENT X0306 4 2015-09-30 0 0001590695 TWINLAB CONSOLIDATED HOLDINGS, INC. TLCC 0001620395 Little Harbor LLC 3133 ORCHARD VISTA DRIVE SE GRAND RAPIDS MI 49546 0 0 1 0 Common stock, par value $0.001 2015-09-30 4 X 0 3289474 .01 A 33168948 D Warrant (right to buy) .01 2015-09-30 4 X 0 3289474 0 D 2015-06-02 2020-05-31 Common stock, par value $0.001 3289474 0 D The warrant was issued to the reporting person pursuant to a Stock Purchase Agreement, dated as of June 2, 2015. /s/ David L. Van Andel, Manager 2015-10-02