Laird Superfood Inc.

07/01/2022 | Press release | Distributed by Public on 07/01/2022 16:44

Initial Statement of Beneficial Ownership (Form 3)

Ownership Submission
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 *
Hamill Anna
2. Date of Event Requiring Statement (Month/Day/Year)
2022-07-01
3. Issuer Name and Ticker or Trading Symbol
Laird Superfood, Inc. [LSF]
(Last) (First) (Middle)
275 W LUNDGREN MILL DR
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
Chief Financial Officer /
5. If Amendment, Date Original Filed(Month/Day/Year)
(Street)
SISTERS OR 97759-2714
6. Individual or Join/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 Beneficially Owned
1.Title of Security 2. Amount of Securities Beneficially Owned 3. Ownership Form: Direct (D) or Indirect (I) 4. Nature of Indirect Beneficial Ownership
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security 2. Date Exercisable and Expiration Date 3. Title and Amount of Securities Underlying Derivative Security 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) 6. Nature of Indirect Beneficial Ownership
Date Exercisable Expriation Date Title Amount or Number of Shares

Reporting Owners

Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Hamill Anna
275 W LUNDGREN MILL DR

SISTERS, OR97759-2714


Chief Financial Officer

Signatures

/s/ Steven L. Richie, Attorney-in-Fact 2022-07-01
**Signature of Reporting Person Date

Explanation of Responses:

(*) 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).
(1) Represents restricted stock units granted on May 5, 2022. The restricted stock units vest as to 25% of the shares on each of the first four anniversaries of the grant date.
(2) This stock option, granted May 5, 2022, vests on the first anniversary of the grant date.
(3) This stock option, granted May 5, 2022, vests as to 25% of the shares on each of the first four anniversaries of the grant date.
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, See Instruction 6 for procedure.Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.