SEC FORM 3 SEC Form 3
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*
Garrison Scott Eugene

(Last) (First) (Middle)
10624 S. EASTERN AVE.
SUITE A-638

(Street)
HENDERSON NV 89052

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
05/07/2024
3. Issuer Name and Ticker or Trading Symbol
CLEANSPARK, INC. [ CLSK ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Operating Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 168,539(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (right to buy) 08/07/2023 07/06/2033 Common Stock 20,139 $6 D
Employee Stock Option (right to buy) (2) 05/14/2031 Common Stock 45,000 $15.69 D
Explanation of Responses:
1. The total reported amount of 168,539 shares includes 100,000 restricted stock units (RSUs) granted to Scott Garrison on May 7, 2024. One-third of these RSUs are scheduled to vest on September 30, 2024, with an additional one-third vesting on each subsequent anniversary, September 30, 2025, and September 30, 2026.
2. The option is fully vested.
/s/ Leighton Koehler, General Counsel 05/09/2024
** Signature of Reporting Person Date
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 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).
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