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*
AK Holding Company, LC

(Last) (First) (Middle)
3200 WEST CLUBHOUSE DRIVE
SUITE 200

(Street)
LEHI UT 84043

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/03/2020
3. Issuer Name and Ticker or Trading Symbol
Clene Inc. [ CLNN ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
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(1) 5,135,676 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
Senior Warrant to Purchase Common Stock(2) 12/30/2020 04/08/2023 Common Stock 160,121 1.97 D
Series A Warrant to Purchase Common Stock(3) 12/30/2020 04/04/2023 Common Stock 864,121 1.97 D
Explanation of Responses:
1. The securities owned by AK Holding Company, LC (including the Warrant and Senior Warrant described below) may also be deemed to be owned by Alan Ashton and Karen Ashton. Mr. and Mrs. Ashton each own 50% of the membership interests in AK Holding Company, LC.
2. Senior Warrant ("Senior Warrant") to purchase Series D Preferred Stock, issued by Clene Nano-Medicine Inc. to AK Holding Company, LC dated April 8, 2013 and currently exercisable for shares of Clene Inc. The Senior Warrant owned by AK Holding Company, LC may also be deemed to be owned by Alan Ashton and Karen Ashton. Mr. and Mrs. Ashton each own 50% of the membership interests in AK Holding Company, LC.
3. Warrant ("Warrant") to purchase Series A Preferred Stock, such warrant issued by Clene Nanomedicine, Inc. to AK Holding Company, LC on April 4, 2013 and currently exercisable for Clene Inc. common stock. The Warrant may also be deemed to be owned by Alan Ashton and Karen Ashton. Mr. and Mrs. Ashton each own 50% of the membership interests in AK Holding Company, LC.
David Harkness 01/06/2021
** 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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