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☐
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Rule 13d-1(b)
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Rule 13d-1(c)
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Rule 13d-1(d)
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*
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The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information
which would alter the disclosures provided in a prior cover page.
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CUSIP NO.
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66516T104
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Schedule 13G
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1
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NAMES OF REPORTING PERSONS
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Thomas Wetherald
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(a)
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(b)
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3
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SEC USE ONLY
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4
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CITIZENSHIP OR PLACE OF ORGANIZATION
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United States of America
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NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
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5
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SOLE VOTING POWER
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750,496
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6
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SHARED VOTING POWER
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-0-
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7
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SOLE DISPOSITIVE POWER
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750,496
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8
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SHARED DISPOSITIVE POWER
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-0-
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
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750,496
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10
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CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
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11
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
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8.4%
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12
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TYPE OF REPORTING PERSON
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IN
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Item 1 (a)
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Name of Issuer:
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Laird Superfood, Inc. (the “Issuer”). |
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Item 1 (b)
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Address of Issuer's Principal Executive Offices:
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275 W. Lundgren Mill Drive, Sisters, Oregon 97759.
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Item 2 (a)
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Name of Person Filing:
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This Schedule 13G is filed by Thomas Wetherald (the “Reporting Person”).
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(b)
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Address of Principal Business Office or, if none, Residence:
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The business address of the Reporting Persons is c/o Laird Superfood, Inc., 275 W. Lundgren Mill Drive, Sisters, Oregon 97759.
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(c) |
Citizenship:
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The Reporting Person is a citizen of the United States of America. | |
(d)
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Title of Class of Securities:
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Common Stock, $0.001 par value (“Common Stock”). |
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(e)
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CUSIP No.:
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50736T102 |
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Item 3
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If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b), check whether the person filing is a:
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Not Applicable
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Item 4
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Ownership:
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The ownership information below represents beneficial ownership of Common Stock of the Issuer as of December 31, 2020, based upon 8,874,890 shares of Common Stock outstanding as of November 11, 2020. |
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(a)
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Amount beneficially owned:
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The Reporting Person is the beneficial owner of 720,496 shares of Common Stock and 30,000 shares of Common Stock issuable upon exercise of stock options held by the Reporting Person that are exercisable or will become exercisable within 60 days of December 31, 2020. |
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(b)
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Percent of class: 8.4%
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(c)
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Number of shares as to which such person has:
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(i)
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Sole power to vote or direct the vote: 750,496
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(ii)
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Shared power to vote or direct the vote: -0-
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(iii)
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Sole power to dispose or direct the disposition: 750,496
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(iv)
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Shared power to dispose or direct the disposition: -0-
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Item 5
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Ownership of Five Percent or Less of a Class:
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Not applicable.
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Item 6
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Ownership of More Than Five Percent on Behalf of Another Person:
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Not applicable.
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Item 7
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Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company or Control Person:
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Not applicable.
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Item 8
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Identification and Classification of Members of the Group:
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Not applicable.
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Item 9
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Notice of Dissolution of Group:
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Not applicable.
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Item 10
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Certification:
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Not applicable.
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THOMAS WETHERALD
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s/ Thomas Wetherald
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