0001663577-21-000237.txt : 20210510 0001663577-21-000237.hdr.sgml : 20210510 20210510192156 ACCESSION NUMBER: 0001663577-21-000237 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210507 FILED AS OF DATE: 20210510 DATE AS OF CHANGE: 20210510 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Tadayon Amer CENTRAL INDEX KEY: 0001802500 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39187 FILM NUMBER: 21909081 MAIL ADDRESS: STREET 1: 1185 S. 1800 WEST, SUITE 3 CITY: WOODS CROSS STATE: UT ZIP: 84087 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CLEANSPARK, INC. CENTRAL INDEX KEY: 0000827876 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373] IRS NUMBER: 870449945 STATE OF INCORPORATION: NV FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 1185 SOUTH 1800 WEST, SUITE 3 CITY: WOODS CROSS STATE: UT ZIP: 84087 BUSINESS PHONE: (702) 941-8047 MAIL ADDRESS: STREET 1: 1185 SOUTH 1800 WEST, SUITE 3 CITY: WOODS CROSS STATE: UT ZIP: 84087 FORMER COMPANY: FORMER CONFORMED NAME: STRATEAN INC. DATE OF NAME CHANGE: 20141201 FORMER COMPANY: FORMER CONFORMED NAME: SMARTDATA CORP DATE OF NAME CHANGE: 19880120 4 1 ownership.xml X0306 4 2021-05-07 0 0000827876 CLEANSPARK, INC. CLSK 0001802500 Tadayon Amer 1185 S. 1800 W. SUITE 3 WOODS CROSS UT 84087 0 1 0 0 Chief Revenue Officer Common Stock 2021-05-07 4 J 0 8072 4.65 D 109132 D As reported in the Form 4 filed by the Reporting Person on February 6, 2020 (the "Prior Form 4"), on January 31, 2020, the Reporting Person acquired a beneficial ownership interest in 64,516 shares of the Issuer's restricted common stock, which shares were held in escrow pending satisfaction of certain future performance milestones, as set forth in that certain Escrow Agreement, as amended, entered into by and between the Issuer and the Reporting Person, in connection with the Issuer's acquisition of p2klabs, Inc. Pursuant to the Escrow Agreement, 8,072 of the 64,516 shares reported in the Prior Form 4 were forfeited by the Reporting Person on May 7, 2021 as a result of certain of the performance milestones set forth in the Escrow Agreement not having been met. /s/ Amer Tadayon 2021-05-10