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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Warrants (rights to buy) | $ 1.4 | 08/30/2021 | P | 850,000 | 08/30/2021 | 08/30/2024 | Subordinate Voting Shares | 850,000 | (1) | 850,000 | I | see footnote (2) | |||
Warrants (rights to buy) | $ 1.4 | 08/30/2021 | P | 200,000 | 08/30/2021 | 08/30/2024 | Subordinate Voting Shares | 200,000 | (3) | 200,000 | I | see footnote (4) | |||
Warrants (rights to buy) | $ 1.4 | 08/30/2021 | P | 50,000 | 08/30/2021 | 08/30/2024 | Subordinate Voting Shares | 50,000 | (5) | 50,000 | I | see footnote (6) | |||
Warrants (rights to buy) | $ 1.4 | 08/30/2021 | P | 150,000 | 08/30/2021 | 08/30/2024 | Subordinate Voting Shares | 150,000 | (7) | 150,000 | I | see footnote (8) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Shure Brian C/O LOWELL FARMS INC. 19 QUAIL RUN CIRCLE, SUITE B SALINAS, CA 93907 |
X | Chief Financial Officer |
/s/ Brian K. Shure | 09/01/2021 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | The reported securities are included within 1,700,000 units purchased for $1.00 per Unit. Each Unit consists of one Subordinate Voting Share and one half of one share purchase warrant. |
(2) | Held by Ambrose Capital Holdings, LP. Mr. Shure is the President of Ambrose Capital Partners, LLC, which is the general partner of Ambrose Capital Holdings, LP. Mr. Shure disclaims beneficial ownership of the securities held by Ambrose Capital Holdings, LP except to the extent of his pecuniary interest therein. |
(3) | The reported securities are included within 400,000 units purchased for $1.00 per Unit. Each Unit consists of one Subordinate Voting Share and one half of one share purchase warrant. |
(4) | Held by AMTG Holdings, LLLP. Mr. Shure is the President of AMTG Management, Inc., which is the general partner of AMTG Holdings, LLLP. Mr. Shure disclaims beneficial ownership of the securities held by AMTG Holdings, LLLP except to the extent of his pecuniary interest therein. |
(5) | The reported securities are included within 100,000 units purchased for $1.00 per Unit. Each Unit consists of one Subordinate Voting Share and one half of one share purchase warrant. |
(6) | Held by HSK Holdings, LLC. Mr. Shure is the Managing Member of HSK Holdings, LLC. Mr. Shure disclaims beneficial ownership of the securities held by HSK Holdings, LLC except to the extent of his pecuniary interest therein. |
(7) | The reported securities are included within 300,000 units purchased for $1.00 per Unit. Each Unit consists of one Subordinate Voting Share and one half of one share purchase warrant. |
(8) | Held by the Brian K. Shure Charitable Lead Annuity Trust, of which the reporting person is the trustee and of which the reporting person's three children are the beneficiaries. |