Sec Form 3 Filing - Reiner Daniel @ HARVEST HEALTH & RECREATION INC. - 2021-01-04

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
Reiner Daniel
2. Issuer Name and Ticker or Trading Symbol
HARVEST HEALTH & RECREATION INC. [ HRVSF]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director X __ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
3565 FERTILE VALLEY RD.
3. Date of Earliest Transaction (MM/DD/YY)
01/04/2021
(Street)
NEWPORT, WA99156
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
Multiple Voting Shares 37,660 D
Multiple Voting Shares 4,707.5 I By Daniel Reiner, as the trustee for the Grantor Retained Annuity Trust
Multiple Voting Shares 254,939.2 ( 1 ) I By High Alpine Advisors, LLC
Subordinate Voting Shares 7,562,949 D
Subordinate Voting Shares 548,280 I By High Alpine Advisors, LLC
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 D erivative 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
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Reiner Daniel
3565 FERTILE VALLEY RD.
NEWPORT, WA99156
X
Signatures
/s/ Allison McBride, Attorney-in-fact 01/04/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )On March 10, 2020, Mr. Reiner acquired 54,828 Multiple Voting Shares from the Issuer through the acquisition of Interurban Capital Group Inc. On May 22, 2020, the lock-up expired on 10% of the original issuance and was converted to Subordinate Voting Shares. On December 30, 2020, in accordance with the terms of a secured convertible note issued by a subsidiary of the Issuer in favor of High Alpine Advisors, LLC, such indebtedness was converted into 205,594 Multiple Voting Shares of Harvest Health & Recreation Inc.

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