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CUSIP No. 12565J100
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Page 2 of 7
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1
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NAMES OF REPORTING PERSONS
Frank Koretsky |
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
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(a) ☐
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(b) ☑
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3
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SEC USE ONLY
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4
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SOURCE OF FUNDS (SEE INSTRUCTIONS)
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PF
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5
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CHECK IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e)
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☐
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6
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CITIZENSHIP OR PLACE OF ORGANIZATION
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United States
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7
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SOLE VOTING POWER
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NUMBER OF
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16,920,252 (1)
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SHARES
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8
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SHARED VOTING POWER
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BENEFICIALLY
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OWNED BY
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-0-
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EACH
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9
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SOLE DISPOSITIVE POWER
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REPORTING
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PERSON
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16,920,252 (1)
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WITH
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10
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SHARED DISPOSITIVE POWER
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-0-
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11
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
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16,920,252 (1)
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12
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CHECK IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
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☐
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13
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
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47.3% (2)
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14
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
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IN
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CUSIP No. 12565J100
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Page 3 of 7
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1
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NAMES OF REPORTING PERSONS
Newcan Investment Partners LLC |
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
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(a) ☐
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(b) ☑
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3
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SEC USE ONLY
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4
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SOURCE OF FUNDS (SEE INSTRUCTIONS)
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AF
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5
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CHECK IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e)
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☐
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6
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CITIZENSHIP OR PLACE OF ORGANIZATION
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United States
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7
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SOLE VOTING POWER
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NUMBER OF
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4,822,988 (3)
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SHARES
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8
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SHARED VOTING POWER
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BENEFICIALLY
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OWNED BY
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-0-
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EACH
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9
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SOLE DISPOSITIVE POWER
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REPORTING
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PERSON
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4,822,988 (3)
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WITH
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10
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SHARED DISPOSITIVE POWER
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-0-
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11
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
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4,822,988 (3)
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12
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CHECK IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
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☐
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13
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
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13.5% (4)
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14
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
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CO
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CUSIP No. 12565J100
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Page 4 of 7
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(1)
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Reflects 11,460,276 shares owned by Mr. Koretsky, 1,870,988 shares owned by Newcan Investment Partners LLC, a Delaware limited liability company wholly owned by Mr. Koretsky (“Newcan”); 636,988 shares owned by CLS CO 2016, LLC, a Delaware limited liability owned by Mr. Koretsky (“CLS CO”), and 2,952,000 shares issuable upon the conversion of a convertible promissory note and demand convertible notes issued to Newcan. Excludes shares of Common Stock that may be issued upon the conversion of interest accrued or accruing on the outstanding convertible promissory note and demand convertible notes issued to Newcan.
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(2)
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Calculated on the basis of 35,804,944 shares of Common Stock, consisting of the 22,035,984 shares outstanding as of May 31, 2017, plus 10,816,960 shares to be issued as a result of the conversions of convertible promissory notes that are the basis for this report, plus 2,952,000 shares issuable upon conversion of a convertible promissory note and demand convertible notes issued to Newcan.
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(3)
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Reflects 1,870,988 shares owned by Newcan and 2,952,000 shares issuable upon the conversion of a convertible promissory note and demand convertible notes issued to Newcan. Excludes shares of Common Stock that may be issued upon the conversion of interest accrued or accruing on the outstanding convertible promissory note and demand convertible notes issued to Newcan.
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(4)
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Calculated on the basis of 35,804,944 shares of Common Stock, consisting of the 22,035,984 shares outstanding as of May 31, 2017 plus 10,816,960 shares to be issued as a result of the conversions of convertible promissory notes that are the basis for this report, plus 2,952,000 shares issuable upon the conversion of a convertible note and demand convertible notes issued to Newcan.
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CUSIP No. 12565J100
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Page 5 of 7
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ITEM 1.
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SECURITY AND ISSUER
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Title of Class of Securities
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Common Stock $.0001 par value (the “Common Stock”)
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Name and Address of Issuer
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CLS Holdings USA, Inc. (the “Issuer” or the “Company”)
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1435 Yarmouth Street
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Boulder, Colorado 80304
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ITEM 2.
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IDENTITY AND BACKGROUND
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ITEM 3.
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SOURCE AND AMOUNT OF FUNDS OR OTHER CONSIDERATION
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ITEM 4.
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PURPOSE OF TRANSACTIONS
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ITEM 5.
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INTEREST IN SECURITIES OF THE ISSUER
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CUSIP No. 12565J100
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Page 6 of 7
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ITEM 6.
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CONTRACTS, ARRANGEMENTS, UNDERSTANDINGS, OR RELATIONSHIPS WITH RESPECT TO SECURITIES OF THE ISSUER
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ITEM 7.
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MATERIAL TO BE FILED AS EXHIBITS
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Exhibit
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Exhibit
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No.
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Description
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1
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CUSIP No. 12565J100
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Page 7 of 7
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Dated: June 5, 2017
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NEWCAN INVESTMENT PARTNERS LLC
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By:
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/s/ Frank Koretsky |
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Name:
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Frank Koretsky
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Title:
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Sole Member
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||||
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/s/ Frank Koretsky |
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Frank Koretsky
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