Sec Form 3 Filing - Ells Valerie @ Laird Superfood, Inc. - 2020-09-22

Insider filing report for Changes in Beneficial Ownership
"Insiders might sell their shares for any number of reasons, but they buy them for only one: they think the price will rise"
- Peter Lynch
What is insider trading>>
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
OMB APPROVAL
OMB Number: 3235-0287
Expires: November 30, 2011
Estimated average burden hours per response... 0.5
1. Name and Address of Reporting Person
Ells Valerie
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)
Chief Financial Officer
(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 1,172 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) $ 9 ( 1 ) 03/10/2028 Common Stock 20,000 D
Series A-1 Preferred Stock ( 2 ) ( 2 ) ( 2 ) Common Stock 14,600 D
Stock Option (right to buy) $ 9 ( 3 ) 06/14/2028 Common Stock 2,000 D
Stock Option (right to buy) $ 12.315 ( 4 ) 04/30/2029 Common Stock 18,000 D
Stock Option (right to buy) $ 14.5 ( 5 ) 12/31/2029 Common Stock 20,000 D
Stock Option (right to buy) $ 13.05 ( 6 ) 04/14/2030 Common Stock 9,940 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Ells Valerie
C/O LAIRD SUPERFOOD
275 W LUNDGREN MILL DR
SISTERS, OR97759
Chief Financial Officer
Signatures
/s/ Andrew McCormick, as attorney-in-fact for Valerie Ells 09/22/2020
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Stock option granted under the 2016 Stock Incentive Plan ("Stock Plan") on March 11, 2018 and first became exercisable with respect to 25% of the shares of common stock on April 1, 2019 and has become and will become exercisable in equal parts on each of the first three anniversaries thereafter.
( 2 )Each share of the Company's 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 Stock Plan on June 15, 2018 and has become and will become exercisable, as applicable, with respect to 25% of the shares of common stock on each of the first four anniversaries of the date of grant.
( 4 )Stock option granted under the 2018 Equity Incentive Plan ("Equity Plan") on May 1, 2019 and has become and will become exercisable, as applicable, with respect to 25% of the shares of common stock on each of the first four anniversaries of the date of grant.
( 5 )Stock option granted under the Equity Plan on January 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.
( 6 )Stock option granted under the Equity Plan on April 15, 2020 and becomes exercisable with respect to approximately 25% of the shares of common stock on each of the first four anniversaries of the date of grant.

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).

Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.