James Miller - 31 Dec 2024 Form 5 Insider Report for BLUM HOLDINGS, INC. (BLMH)

Role
Director
Signature
/s/ James Miller
Issuer symbol
BLMH
Transactions as of
31 Dec 2024
Net transactions value
$0
Form type
5
Filing time
14 Feb 2025, 19:18:00 UTC
Previous filing
01 Feb 2024
Next filing
27 Jan 2026

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction BLMH Series V Preferred Stock Other 0 0% 357,143 30 Dec 2024 Common Stock 119,048 Direct F1, F2, F3
transaction BLMH Warrants to Purchase Common Stock Disposed to Issuer $0 -17,857 -100% $0.000000 0 30 Dec 2024 Common Stock 0 $2.80 Direct F4
transaction BLMH Warrants to Purchase Common Stock Award $0 +59,524 $0.000000 59,524 30 Dec 2024 Common Stock 59,524 $0.4600 Direct F4
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Not applicable. See footnote 2.
F2 Reporting Person holds 357,143 shares of Series V Preferred Stock ("Series V Stock") and is reporting herein a change in the conversion ratio of such stock to common stock only. Effective December 30, 2024, Issuer amended the certificate of designation of its Series V Stock pursuant to which each share of Series V Stock (a) became convertible into 1/3 of a share of common stock, (b) will automatically be converted to common stock on the fourth anniversary of the date of issuance, and (c) prior to such anniversary, the holder is entitled to convert shares of Series V Stock upon written notice. Issuer and Reporting Person entered into an amendment to the Series V Stock purchase agreement in connection therewith.
F3 See footnote 2.
F4 These two warrants transactions involved an amendment of outstanding warrants to purchase common stoc), resulting in the cancellation of the old warrant and the grant of a replacement warrant.