Sec Form 3 Filing - Pham Luan @ Laird Superfood, Inc. - 2020-09-22

Insider filing report for Changes in Beneficial Ownership
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FORM 3
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
Pham Luan
2. Issuer Name and Ticker or Trading Symbol
Laird Superfood, Inc. [ LSF]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
CRMO
(Last) (First) (Middle)
C/O LAIRD SUPERFOOD, 275 W LUNDGREN MILL DR
3. Date of Earliest Transaction (MM/DD/YY)
09/22/2020
(Street)
SISTERS, OR97759
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 120,114 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 (right to buy) $ 2 ( 1 ) 02/23/2026 Common Stock 20,000 D
Series A-1 Preferred Stock ( 2 ) ( 2 ) ( 2 ) Common Stock 4,000 D
Stock Option (right to buy) $ 7.5 01/25/2018 01/24/2028 Common Stock 5,000 D
Stock Option (right to buy) $ 12.315 ( 3 ) 05/07/2029 Common Stock 26,666 D
Stock Option (right to buy) $ 12.315 ( 4 ) 05/07/2029 Common Stock 9,584 D
Stock Option (right to buy) $ 13.05 ( 5 ) 05/31/2030 Common Stock 4,024 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Pham Luan
C/O LAIRD SUPERFOOD
275 W LUNDGREN MILL DR
SISTERS, OR97759
CRMO
Signatures
/s/ Andrew McCormick, as attorney-in-fact for Luan Pham 09/22/2020
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Stock option granted under the 2016 Stock Incentive Plan ("Stock Plan") on February 24, 2016 and became exercisable with respect to 25% of the shares of common stock on each of the four anniversaries of the date of grant.
( 2 )Each share of Laird Superfood, Inc. (the "Company") Series A-1 Preferred Stock is convertible on a one-to-two basis into shares of the Company's common stock at the holder's election and has no expiration date. The Series A-1 Preferred Stock will automatically convert into common stock upon the closing of the Company's initial public offering.
( 3 )Stock option granted under the 2018 Equity Incentive Plan ("Equity Plan") on May 8, 2019 and became exercisable with respect to approximately 50% of the shares of common stock on June 1, 2019 and June 1, 2020.
( 4 )Stock option to purchase 53,334 shares of common stock granted under the Equity Plan on May 8, 2019. The options vest in six installments based on the achievement by the Company of certain performance criteria concerning monthly revenue benchmarks. The performance criteria for the first installment were met on December 1, 2019, resulting in vesting of the options as to 4,792 shares of common stock. The options will vest as to an additional 4,792 shares of common stock one year after the performance criteria for first installment were met, and there will be four installments that will vest upon the satisfaction of additional criteria.
( 5 )Stock option granted under the Equity Plan on June 1, 2020 and becomes exercisable with respect to 25% of the shares of common stock on each of the first four anniversaries of the date of grant.

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