0001575872-23-001612.txt : 20231016 0001575872-23-001612.hdr.sgml : 20231016 20231016212645 ACCESSION NUMBER: 0001575872-23-001612 CONFORMED SUBMISSION TYPE: 3/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231004 FILED AS OF DATE: 20231016 DATE AS OF CHANGE: 20231016 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LA ROSA JOSEPH CENTRAL INDEX KEY: 0001896551 FILING VALUES: FORM TYPE: 3/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-41588 FILM NUMBER: 231328336 MAIL ADDRESS: STREET 1: 1420 CELEBRATION BOULEVARD STREET 2: SUITE 200 CITY: CELEBRATION STATE: FL ZIP: 34747 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: La Rosa Holdings Corp. CENTRAL INDEX KEY: 0001879403 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE AGENTS & MANAGERS (FOR OTHERS) [6531] IRS NUMBER: 871641189 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1420 CELEBRATION BLVD STREET 2: STE 200 CITY: CELEBRATION STATE: FL ZIP: 34747 BUSINESS PHONE: 407-592-4667 MAIL ADDRESS: STREET 1: 1420 CELEBRATION BLVD STREET 2: STE 200 CITY: CELEBRATION STATE: FL ZIP: 34747 3/A 1 ownership.xml X0206 3/A 2023-10-04 2023-10-04 0 0001879403 La Rosa Holdings Corp. LRHC 0001896551 LA ROSA JOSEPH 1420 CELEBRATION BLVD, SUITE 200 CELEBRATION, FL 34747 1 1 1 0 President, CEO, and Chairman Common Stock 5400000 D Series X Super Voting Preferred Stock 2000 D Series A Convertible Preferred Stock 2023-10-12 2023-10-12 Common Stock 377428 D Series A Convertible Preferred Stock 2023-10-12 2023-10-12 Common Stock 285 I By Celebration Condos Office, LLC Warrant to Purchase Common Stock 5 2022-12-02 2027-12-02 Common Stock 50000 D As of October 4, 2023, Mr. La Rosa owned 1,321 shares of Series A Convertible Preferred Stock, $0.0001 par value per share, which automatically converted into 377,428 shares of the Company's common stock based on a 30% discount to the per share price on the date of closing of the Company's initial public offering made pursuant to its registration statement, as amended (File No. 333-264372), as filed with the Securities and Exchange Commission. This amendment is being filed to move these shares of Series A Preferred Stock from Table II to Table I of the Form 3 filed on October 4, 2023. The Series X Super Voting Preferred Stock that has 10,000 votes per share and votes together as a class with the Company's common stock. Pursuant to the terms of the warrant, the "Exercise Price" is the lower of: (i) $5.00 per share of common stock, or (ii) the price per share of any offering by the Company subsequent to the Company's initial public offering made pursuant to its registration statement, as amended (File No. 333-264372), as filed with the Securities and Exchange Commission, subject to adjustment as provided in the warrant. As of October 4, 2023, Celebration Condos Office, LLC, a limited liability company, owned and controlled by Joseph La Rosa, owned 1 share of Series A Convertible Preferred Stock, $0.0001 par value per share. This amendment is being filed to include this share of Series A Preferred Stock beneficially held indirectly by Joseph La Rosa which was inadvertently omitted from Mr. La Rosa's Form 3 filed on October 4, 2023. /s/ Joseph La Rosa 2023-10-16