Sec Form 4 Filing - Van Andel David L @ TWINLAB CONSOLIDATED HOLDINGS, INC. - 2015-09-30

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
Van Andel David L
2. Issuer Name and Ticker or Trading Symbol
TWINLAB CONSOLIDATED HOLDINGS, INC. [ TLCC]
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)
3133 ORCHARD VISTA DRIVE SE
3. Date of Earliest Transaction (MM/DD/YY)
09/30/2015
(Street)
GRAND RAPIDS, MI49546
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 09/30/2015 X 3,289,474 A $ 0.01 34,791,814 I owned through a Trust ( 1 )
common stock, par value $0.001 09/30/2015 X 3,289,474 A $ 0.01 33,168,948 I owned through limited liability company ( 2 )
common stock, par value $0.001 10/02/2015 P 41,379,310 A $ 0.29 48,332,266 I owned through limited liability company ( 3 )
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
Warrant (right to buy) $ 0.01 09/30/2015 X 3,289,474 06/02/2015 05/31/2020 Common stock, par value $0.001 3,289,474 $ 0 ( 4 ) 0 I Owned through a Trust ( 5 )
Warrant (right to buy) $ 0.01 09/30/2015 X 3,289,474 06/02/2015 05/31/2020 Common stock, par value $0.001 3,289,474 $ 0 ( 6 ) 0 I Owned through limited liability company ( 7 )
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Van Andel David L
3133 ORCHARD VISTA DRIVE SE
GRAND RAPIDS, MI49546
X X
Signatures
/s/ David L. Van Andel 10/02/2015
Signature of Reporting Person Date
Explanation of Responses:
( 1 )These shares are owned by the David L. Van Andel Trust u/a dated November 30, 1993 (the "DVA Trust"), of which the reporting person is the sole trustee and the principal beneficiary.
( 2 )These shares are owned by Little Harbor LLC, a Nevada limited liability company ("LH LLC"), of which the reporting person is the sole manager and a holder as sole trustee of the DVA Trust of 80.5% of the membership interests. The reporting person disclaims beneficial ownership of any shares held by LH LLC that would exceed his percentage interest in LH LLC.
( 3 )These shares are owned by Great Harbor Capital, LLC, a Delaware limited liability company, of which the reporting person is the sole manager and a holder as sole trustee of the DVA Trust of 100% of the membership interests.
( 4 )The warrant was issued to the DVA Trust pursuant to a Stock Purchase Agreement, dated as of June 2, 2015.
( 5 )The warrant was owned by the DVA Trust.
( 6 )The warrant was issued to LH LLC pursuant to a Stock Purchase Agreement dated as of June 2, 2015.
( 7 )The warrant was owned by LH LLC.

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