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*
LA ROSA DEANA
(Last) (First) (Middle)
1420 CELEBRATION BLVD, SUITE 200
(Street)
CELEBRATION FL 34747
(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/01/2024 		3. Issuer Name and Ticker or Trading Symbol
La Rosa Holdings Corp. [ LRHC ]
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 5,837,428 I By spouse(2)
Common Stock 285 I By spouse(3)
Series X Super Voting Preferred Stock 2,000 I By spouse(2)
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
Stock Option (Right to Buy) 02/01/2024 02/01/2034 Common Stock 300,000(1) $1.7332 D
Warrant to Purchase Common Stock 12/02/2022 12/02/2027 Common Stock 50,000 $5 I By spouse(4)
Stock Option (Right to Buy) 12/07/2023 12/07/2033 Common Stock 900,000 $2.09 I By spouse(5)
Stock Option (Right to Buy) 01/02/2024 01/02/2034 Common Stock 800,000 $1.5001 I By spouse(5)
Stock Option (Right to Buy) 02/01/2024 02/01/2034 Common Stock 134,065 $1.7332 I By spouse(5)
Explanation of Responses:
1. Non-qualified stock option granted on February 1, 2024 pursuant to the employment agreement between Deana La Rosa and the Issuer, dated January 31, 2024 and effective February 1, 2024, 100% vested on the date of the grant.
2. Represents the shares of common stock of the Issuer that are directly owned by Ms. La Rosa's spouse, Joseph La Rosa, the Chief Executive Officer and Director of the Board of the Issuer. Mr. La Rosa's direct ownership of these shares was previously reported on Forms 3 and 4.
3. Represents the shares of common stock of the Issuer, that are indirectly owned by Ms. La Rosa's spouse, Joseph La Rosa, the Chief Executive Officer and Director of the Board of the Issuer. Mr. La Rosa's indirect ownership of these shares was previously reported on Form 3.
4. Represents the warrant, that is directly owned by Ms. La Rosa's spouse, Joseph La Rosa, the Chief Executive Officer and Director of the Board of the Issuer. Mr. La Rosa's direct ownership of the warrant was previously reported on Form 3.
5. Represents the non-qualified stock options, that are directly owned by Ms. La Rosa's spouse, Joseph La Rosa, the Chief Executive Officer and Director of the Board of the Issuer. Mr. La Rosa's direct ownership of the options was previously reported on Form 4.
/s/ Deana La Rosa 02/01/2024
** 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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