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Ownership Document |
Schema Version: X0306 |
Document Type: 4 |
Period of Report: 11/22/19 |
Issuer: |
| Issuer CIK: 1134765 |
| Issuer Name: Charlie's Holdings, Inc. |
| Issuer Trading Symbol: CHUC |
Reporting Owner: |
| Reporting Owner ID: |
| | Owner CIK: 1777367 |
| | Owner Name: Mirkovich Adam |
| Reporting Owner Address: |
| | Owner Street 1: C/O CHARLIE'S HOLDINGS, INC. |
| | Owner Street 2: 1007 BRIOSO DRIVE |
| | Owner City: COSTA MESA |
| | Owner State: CA |
| | Owner ZIP Code: 92627 |
| | Owner State Description: |
| Reporting Owner Relationship: |
| | Is Director? No |
| | Is Officer? Yes |
| | Is Ten Percent Owner? No |
| | Is Other? No |
| | Officer Title: CHIEF INFORMATION OFFICER |
| | Other Text: |
Non-Derivative Table: |
| Non-Derivative Transaction: |
| | Security Title: |
| | | Value: Common Stock |
| | Transaction Date: |
| | | Value: 11/22/19 |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: P |
| | | Equity Swap Involved? No |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 490,000 |
| | | Transaction Price Per Share: |
| Value: 0.0027 |
| | | Transaction Acquired-Disposed Code: |
| Value: A |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 490,000 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| | | Nature of Ownership: |
| Value: |
| Non-Derivative Transaction: |
| | Security Title: |
| | | Value: Common Stock |
| | Transaction Date: |
| | | Value: 11/25/19 |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: P |
| | | Equity Swap Involved? No |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 320,000 |
| | | Transaction Price Per Share: |
| Value: 0.0027 |
| | | Transaction Acquired-Disposed Code: |
| Value: A |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 810,000 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| | | Nature of Ownership: |
| Value: |
Derivative Table: |
| Derivative Holding: |
| | Security Title: |
| | | Value: Stock Option |
| | Conversion or Exercise Price: |
| | | Value: 0.0044 |
| | Exercise Date: |
| | | Footnote ID: F1 |
| | Expiration Date: |
| | | Value: 10/29/29 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Stock |
| | | Underlying Security Shares: |
| Value: 10,000,000 |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 10,000,000 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| | | Nature of Ownership: |
| Value: |
Footnotes: |
| Footnote - F1: Options will become exercisable upon vesting and will vest annually, in equal installments, over a three-year period beginning on June 1, 2020. |
Owner Signature: |
| Signature Name: /s/ David Allen , Attorney-in-Fact |
| Signature Date: 11/26/19 |