SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
David Toby

(Last) (First) (Middle)
190 SE 5TH AVENUE, SUITE 200

(Street)
DELRAY BEACH FL 33483

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/31/2022
3. Issuer Name and Ticker or Trading Symbol
Celsius Holdings, Inc. [ CELH ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Executive Vice President
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 31,809(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Options (right to buy) (2) 01/30/2024 Common Stock 20,000 $0.34 D
Options (right to buy) (3) 02/24/2025 Common Stock 10,000 $1.05 D
Options (right to buy) (4) 01/04/2026 Common Stock 5,000 $1.97 D
Options (right to buy) (5) 03/16/2027 Common Stock 10,000 $4.33 D
Options (right to buy) (6) 02/01/2028 Common Stock 40,000 $5.8 D
Options (right to buy) (7) 01/24/2029 Common Stock 40,000 $3.73 D
Options (right to buy) (8) 10/23/2029 Common Stock 70,000 $3.23 D
Explanation of Responses:
1. As of the date of this filing, the amount includes 12,600 unvested RSUs.
2. The option agreement provides that the option becomes exercisable on the first anniversary of the option's grant date. The option was granted on January 30, 2014.
3. The option agreement provides that the option becomes exercisable in three equal annual installments beginning on the first anniversary of the option's grant date. The option was granted on February 24, 2015.
4. The option agreement provides that the option becomes exercisable in three equal annual installments beginning on the first anniversary of the option's grant date. The option was granted on January 4, 2016.
5. The option agreement provides that the option becomes exercisable in three equal annual installments beginning on the first anniversary of the option's grant date. The option was granted on March 16, 2017.
6. The option agreement provides that the option becomes exercisable in three equal annual installments beginning on the first anniversary of the option's grant date. The option was granted on February 1, 2018.
7. The option agreement provides that the option becomes exercisable in three equal annual installments beginning on the first anniversary of the option's grant date. The option was granted on January 24, 2019.
8. The option agreement provides that the option becomes exercisable in three equal annual installments beginning on the first anniversary of the option's grant date. The option was granted on October 23, 2019.
Remarks:
Exhibit 24 - Power of Attorney
/s/ Toby David 08/24/2023
** Signature of Reporting Person 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 5 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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