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