4//SEC Filing
Carrillo Sabas D 4
Accession 0001437749-25-035478
CIK 0001996210other
Filed
Nov 16, 7:00 PM ET
Accepted
Nov 17, 5:26 PM ET
Size
10.3 KB
Accession
0001437749-25-035478
Insider Transaction Report
Form 4
Carrillo Sabas D
DirectorChief Executive Officer10% Owner
Transactions
- Other
Common Stock
2025-11-13$0.98/sh+1,530,612$1,500,000→ 6,462,766 total(indirect: By LLC) - Other
Common Stock
2025-11-13$0.98/sh+2,482,308$2,432,662→ 8,945,074 total(indirect: By LLC)
Holdings
- 92,389
Common Stock
- 3,571,429(indirect: By LLC)
Series V Preferred Stock
- 595,238(indirect: By LLC)
Warrants to Purchase Common Stock
Exercise: $0.46From: 2024-12-30Exp: 2027-12-31→ Common Stock (595,238 underlying)
Footnotes (5)
- [F1]Reporting Person is the CEO and managing member of Adnant, LLC.
- [F2]Each share of Series V Preferred Stock is convertible at the option of the holder into 1/3 of a share of Common Stock at any time from and after the first anniversary of the issuance date. Each share of Series V Preferred Stock automatically converts into Common Stock on the fourth anniversary of the issuance date.
- [F3]Conversion of outstanding accounts payable in the amount of $1,500,000 owed by the Company to Adnant, LLC into shares of common stock.
- [F4]Conversion price of $0.98 per share.
- [F5]On November 13, 2025, Blum Holdings, Inc. (the "Company") issued 2,482,308 shares of Common Stock to Adnant,LLC ("Adnant") pursuant to the Debt Conversion Agreement between the Company and Adnant dated December 30, 2024. The Debt Conversion Agreement provides that, if the Company enters into any financing agreement with a third party on terms more favorable than the per-share price or discount set forth therein, the Company will, at Adnant's request, amend and restate the Debt Conversion Agreement to reflect economics at least equal to those of such third-party financing. The shares were issued at a per-share price of $0.98.
Documents
Issuer
BLUM HOLDINGS, INC.
CIK 0001996210
Entity typeother
Related Parties
1- filerCIK 0001876882
Filing Metadata
- Form type
- 4
- Filed
- Nov 16, 7:00 PM ET
- Accepted
- Nov 17, 5:26 PM ET
- Size
- 10.3 KB