Sec Form 4 Filing - Love Lori @ CLEANSPARK, INC. - 2021-04-16

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
Love Lori
2. Issuer Name and Ticker or Trading Symbol
CLEANSPARK, INC. [ CLSK]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Chief Financial Officer
(Last) (First) (Middle)
1185 SOUTH 1800 WEST, SUITE 3
3. Date of Earliest Transaction (MM/DD/YY)
04/16/2021
(Street)
WOODS CROSS, UT84087
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 04/16/2021 A 15,000 ( 1 ) A $ 0 86,081 ( 2 ) 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
Employee Stock Option (Right to Buy) $ 23 04/16/2021 A 50,000 ( 3 ) ( 3 )( 4 ) 04/15/2026 Common Stock 50,000 $ 0 50,000 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Love Lori
1185 SOUTH 1800 WEST
SUITE 3
WOODS CROSS, UT84087
Chief Financial Officer
Signatures
/s/ Lori Love 04/20/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Represents 15,000 restricted stock units awarded to the Reporting Person under the Issuer's 2017 Equity Incentive Plan (the "Plan") in connection with the Reporting Person's service as an executive officer of the Issuer, which restricted stock units were fully vested upon issuance.
( 2 )This includes 13,250 shares of restricted common stock issued to the Reporting Person on October 26, 2020, the vesting of which shares is subject to the achievement of certain corporate milestones of the Issuer for fiscal year 2021.
( 3 )The Reporting Person's ability to exercise 33,500 of the 50,000 Stock Options (the "Contingent Options") reported herein is conditioned upon stockholder approval of an amendment to the Plan. If such stockholder approval is not obtained, then the Contingent Options shall be forfeited by the Reporting Person.
( 4 )The Stock Options shall vest in 36 equal monthly installments from the grant date.

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

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