Sec Form 4 Filing - Davis Tiffany N. @ Solis Tek, Inc./NV - 2018-08-22

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Davis Tiffany N.
2. Issuer Name and Ticker or Trading Symbol
Solis Tek, Inc./NV [ SLTK]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Chief Operating Officer
(Last) (First) (Middle)
C/O SOLIS TEK INC., 853 SANDHILL AVENUE
3. Date of Earliest Transaction (MM/DD/YY)
08/22/2018
(Street)
CARSON, CA90746
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock, par value $0.001 per share 08/22/2018 A 100,000 A $ 0 ( 1 ) 350,000 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
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)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option $ 0.74 08/22/2018 A 1,344,797 08/22/2018 08/22/2023 Common Stock 1,344,797 $ 0 ( 2 ) 1,344,797 D
Stock Option $ 0.94 08/27/2018 A 750,000 08/27/2018 08/27/2023 Common Stock 750,000 $ 0 ( 3 ) 750,000 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Davis Tiffany N.
C/O SOLIS TEK INC.
853 SANDHILL AVENUE
CARSON, CA90746
X Chief Operating Officer
Signatures
/s/ TIFFANY DAVIS 08/28/2018
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The shares were granted by the Issuer to Tiffany Davis for joining the Board of Directors on August 22, 2018.
( 2 )The options were granted in connection with an employment agreement entered into between Solis Tek Inc. and Tiffany Davis, dated August 22, 2018.
( 3 )The options were granted in connection with an amendment to employment agreement entered into between Solis Tek Inc. and Tiffany Davis, dated August 27, 2018, which options were given in lieu of 750,000 shares of common granted to Tiffany Davis pursuant to the employment agreement entered into between Solis Tek Inc. and Tiffany Davis, dated August 22, 2018.

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* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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