Sec Form 4 Filing - Koretsky Frank @ CLS Holdings USA, Inc. - 2018-03-12

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
Koretsky Frank
2. Issuer Name and Ticker or Trading Symbol
CLS Holdings USA, Inc. [ CLSH]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director X __ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
11767 SOUTH DIXIE HIGHWAY, #115
3. Date of Earliest Transaction (MM/DD/YY)
03/12/2018
(Street)
MIAMI, FL33156
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 03/12/2018 M 50,685 A $ 0.3125 1,921,673 I ( 1 ) See Footnote
Common Stock 03/12/2018 M 9,027 A $ 0.3125 1,930,700 I ( 1 ) See Footnote
Common Stock 03/12/2018 M 427,187 A $ 0.3125 2,357,887 I ( 1 ) See Footnote
Common Stock 03/12/2018 M 2,173,088 A $ 0.3125 4,530,975 I ( 1 ) See Footnote
Common Stock 03/12/2018 M 236,810 A $ 0.3125 4,767,785 I ( 1 ) See Footnote
Common Stock 03/12/2018 M 100,525 A $ 0.3125 4,868,310 I ( 1 ) See Footnote
Common Stock 03/12/2018 M 377,898 A $ 0.3125 5,246,208 I ( 1 ) See Footnote
Common Stock 03/12/2018 M 29,786 A $ 0.3125 12,127,050 D
Common Stock 03/12/2018 M 71,091 A $ 0.3125 12,198,141 D
Common Stock 03/12/2018 M 50,307 A $ 0.3125 12,248,448 D
Common Stock 03/12/2018 M 27,805 A $ 0.3125 12,276,253 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
Convertible Promissory Note $ 0.3125 03/12/2018 M 01/10/2017 ( 3 ) Common Stock 50,685 $ 0.3125 0 I ( 1 ) See Footnote
Convertible Promissory Note $ 0.3125 03/12/2018 M 01/10/2017 ( 3 ) Common Stock 9,027 $ 0.3125 0 I ( 1 ) See Footnote
Convertible Promissory Note $ 0.3125 03/12/2018 M 03/31/2017 ( 4 ) Common Stock 427,187 $ 0.3125 0 I ( 1 ) See Footnote
Convertible Promissory Note $ 0.3125 03/12/2018 M 08/23/2017 ( 5 ) Common Stock 2,173,088 $ 0.3125 0 I ( 1 ) See Footnote
Convertible Promissory Note $ 0.3125 03/12/2018 M 08/23/2017 ( 5 ) Common Stock 236,810 $ 0.3125 0 I ( 1 ) See Footnote
Convertible Promissory Note $ 0.3125 03/12/2018 M 10/09/2017 ( 6 ) Common Stock 100,525 $ 0.3125 0 I ( 1 ) See Footnote
Convertible Promissory Note $ 0.3125 03/12/2018 M 01/05/2018 ( 7 ) Common Stock 377,898 $ 0.3125 0 I ( 1 ) See Footnote
Convertible Promissory Note $ 0.3125 03/12/2018 M 08/03/2016 ( 9 ) Common Stock 29,786 $ 0.3125 0 D
Convertible Promissory Note $ 0.3125 03/12/2018 M 01/12/2016 ( 10 ) Common Stock 71,091 $ 0.3125 0 D
Convertible Promissory Note $ 0.3125 03/12/2018 M 04/11/2016 ( 11 ) Common Stock 50,307 $ 0.3125 0 D
Convertible Promissory Note $ 0.3125 03/12/2018 M 07/26/2016 ( 12 ) Common Stock 27,805 $ 0.3125 0 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Koretsky Frank
11767 SOUTH DIXIE HIGHWAY, #115
MIAMI, FL33156
X X
Signatures
/s/ Frank Koretsky 03/14/2018
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Owned by Newcan Investment Partners LLC, an entity wholly owned by the Reporting Person.
( 2 )Represents conversion of remaining unpaid interest that accrued on a convertible promissory note that was converted on May 31, 2017.
( 3 )The Note is convertible, at the election of the Reporting Person, at any time prior to payment or prepayment in full and matures on January 2, 2020.
( 4 )The Note is convertible, at the election of the Reporting Person, at any time prior to payment or prepayment in full and matures on April 1, 2020.
( 5 )The Note is convertible, at the election of the Reporting Person, at any time prior to payment or prepayment in full and matures on August 22, 2020.
( 6 )The Note is convertible, at the election of the Reporting Person, at any time prior to payment or prepayment in full and matures on October 8, 2020.
( 7 )The Note is convertible, at the election of the Reporting Person, at any time prior to payment or prepayment in full and matures on April 1, 2021.
( 8 )Represents conversion of remaining unpaid interest that accrued on a convertible promissory note held by CLS Co 2016, LLC, an entity of which the Reporting Person is a member, that was converted on May 31, 2017. Since CLS Co 2016, LLC's acquisition of this convertible note, the Reporting Person has taken a controlling position in this entity and shares issued upon conversion were issued in the name of the Reporting Person.
( 9 )The Note is convertible, at the election of the Reporting Person, at any time prior to payment or prepayment in full and matures on August 1, 2018.
( 10 )The Note is convertible, at the election of the Reporting Person, at any time prior to payment or prepayment in full and matures on January 1, 2019.
( 11 )The Note is convertible, at the election of the Reporting Person, at any time prior to payment or prepayment in full and matures on April 1, 2019.
( 12 )The Note is convertible, at the election of the Reporting Person, at any time prior to payment or prepayment in full and matures on July 1, 2019.

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