0001663577-21-000602.txt : 20211110 0001663577-21-000602.hdr.sgml : 20211110 20211110173044 ACCESSION NUMBER: 0001663577-21-000602 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211108 FILED AS OF DATE: 20211110 DATE AS OF CHANGE: 20211110 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: 211398022 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 2021-11-08 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 2021-11-08 4 A 0 10000 0 A 120132 D Common Stock 2021-11-08 4 A 0 10000 0 A 130.132 D Represents 10,000 restricted stock units awarded to the Reporting Person under the Issuer's 2017 Equity Incentive Plan, as amended (the "Plan"), in connection with the Reporting Person's service as an executive officer of the Issuer, which restricted stock units shall vest as follows: (i) 833 are vested upon issuance, and (ii) the remaining 9,167 shall vest in equal monthly installments over the next 11 months. Represents 10,000 shares of restricted common stock, which restricted shares shall vest as follows: (i) 83 are vested upon issuance, (ii) 917 shall vest in equal monthly installments over the next 11 months, and (ii) the vesting of the remaining 9,000 is subject to the achievement of certain corporate milestones of the Issuer. /s/ Amer Tadayon 2021-11-10