0001104659-22-000795.txt : 20220104 0001104659-22-000795.hdr.sgml : 20220104 20220104132542 ACCESSION NUMBER: 0001104659-22-000795 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20220104 FILED AS OF DATE: 20220104 DATE AS OF CHANGE: 20220104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Booysen Wessel CENTRAL INDEX KEY: 0001899500 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-56364 FILM NUMBER: 22505042 MAIL ADDRESS: STREET 1: C/O CHARLOTTE'S WEB HOLDINGS, INC. STREET 2: 1801 CALIFORNIA STREET, SUITE 4800 CITY: DENVER STATE: CO ZIP: 80202 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Charlotte's Web Holdings, Inc. CENTRAL INDEX KEY: 0001750155 STANDARD INDUSTRIAL CLASSIFICATION: AGRICULTURE PRODUCTION - CROPS [0100] IRS NUMBER: 000000000 STATE OF INCORPORATION: A1 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2425 55TH STREET STREET 2: SUITE 200 CITY: BOULDER STATE: CO ZIP: 80301 BUSINESS PHONE: 7193389893 MAIL ADDRESS: STREET 1: 2425 55TH STREET STREET 2: SUITE 200 CITY: BOULDER STATE: CO ZIP: 80301 3 1 tm2136544-2_3seq1.xml OWNERSHIP DOCUMENT X0206 3 2022-01-04 0 0001750155 Charlotte's Web Holdings, Inc. CWBHF 0001899500 Booysen Wessel C/O CHARLOTTE'S WEB HOLDINGS, INC. 1801 CALIFORNIA STREET, SUITE 4800 DENVER CO 80202 0 1 0 0 Chief Finan. & Operat. Officer Common Shares 0 D Stock Option (right to buy) 4.35 2031-06-14 Common Shares 86291 D Restricted Share Award Common Shares 61494 D Restricted Share Award Common Shares 119205 D Restricted Share Award Common Shares 100000 D The option agreement provides that the option becomes exercisable in 3 equal annual installments beginning on the first anniversary of the option's grant date. The option was granted on 6/14/2021. The restricted share award agreement provides that the restricted share award vests in 3 equal annual installments beginning on the first anniversary of the restricted share award's grant date. The restricted share award was granted on 6/14/2021. The restricted share award agreement provides that the restricted share award vests in full on the second anniversary of the restricted share award's grant date. The restricted share award was granted on 11/19/2021. The restricted share award agreement provides that the restricted share award vests in 3 equal annual installments beginning on the first anniversary of the restricted share award's grant date. The restricted share award was granted on 12/16/2021. Each restricted share award represents a contingent right to receive one common share of Charlotte's Web Holdings, Inc. Exhibit List Exhibit 24 - Power of Attorney /s/ Jason L. Langford Attorney in Fact for Wessel Booysen 2022-01-04 EX-24 2 tm2136544-2_ex24.htm EXHIBIT 24

 

Exhibit 24

 

POWER OF ATTORNEY

 

KNOW ALL BY THESE PRESENTS, that the undersigned hereby constitutes and appoints Jason L. Langford and Nicole A. Edmonds with full power to act as the undersigned’s true and lawful attorneys-in-fact, with full power of substitution, to:

 

1)execute for and on behalf of the undersigned, in the undersigned’s capacity as an officer and/or director and/or beneficial owner of Charlotte’s Web Holdings, Inc. (the “Company”), the Form ID Application, Forms 3, 4 and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934, as amended, and the rules thereunder;

 

2)do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form ID Application, Forms 3, 4 and 5, complete and execute any amendment or amendments thereto, and timely file such form with the United States Securities and Exchange Commission and any stock exchange or similar authority; and

 

3)take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact’s discretion.

 

The undersigned hereby grants to the attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact or such attorney-in-fact's substitute or substitutes shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted.

 

This power of attorney shall remain in full force and effect until revoked by the undersigned in a signed writing delivered to the attorney-in-fact.

 

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 9 day of December, 2021.

 

  /s/ Wessel Booysen
  Wessel Booysen
  Chief Financial Officer