# EDGAR Filing Document

**Accession Number:** 0001341766
**File Stem:** 0001829126-23-001543
**Filing Date:** 2023-2
**Character Count:** 7302
**Document Hash:** efde180342490538b14a4bac918c1f6f
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001829126-23-001543.hdr.sgml**: 20230214

**ACCESSION NUMBER**: 0001829126-23-001543

**CONFORMED SUBMISSION TYPE**: 5

**PUBLIC DOCUMENT COUNT**: 1

**CONFORMED PERIOD OF REPORT**: 20221231

**FILED AS OF DATE**: 20230214

**DATE AS OF CHANGE**: 20230214

**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** DESANTIS CARL
- **CENTRAL INDEX KEY:** 0001102948

**FILING VALUES:**
- **FORM TYPE:** 5
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-34611
- **FILM NUMBER:** 23632846

**MAIL ADDRESS:**
- **STREET 1:** C/O CDS INTERNATIONAL HOLDINGS
- **STREET 2:** 3299 NW SECOND AVE
- **CITY:** BOCA RATON
- **STATE:** FL
- **ZIP:** 33431
**ISSUER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** Celsius Holdings, Inc.
- **CENTRAL INDEX KEY:** 0001341766
- **STANDARD INDUSTRIAL CLASSIFICATION:** BOTTLED & CANNED SOFT DRINKS CARBONATED WATERS [2086]
- **IRS NUMBER:** 202745790
- **STATE OF INCORPORATION:** NV
- **FISCAL YEAR END:** 1231

**BUSINESS ADDRESS:**
- **STREET 1:** 2424 N. FEDERAL HWY
- **STREET 2:** SUITE 208
- **CITY:** BOCA RATON
- **STATE:** FL
- **ZIP:** 33431
- **BUSINESS PHONE:** 561-276-2239

**MAIL ADDRESS:**
- **STREET 1:** 2424 N. FEDERAL HWY
- **STREET 2:** SUITE 208
- **CITY:** BOCA RATON
- **STATE:** FL
- **ZIP:** 33431

**FORMER COMPANY:**
- **FORMER CONFORMED NAME:** VECTOR VENTURES CORP.
- **DATE OF NAME CHANGE:** 20051018

### UNITED STATES SECURITIES AND EXCHANGE COMMISSION
**Washington, D.C. 20549**

## FORM 5

### STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

[ ] Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>DESANTIS CARL<br><sub>(Last) (First) (Middle)</sub><br>109 SE FIFTH AVENUE, SUITE 200<br><sub>(Street)</sub><br>DELRAY BEACH,, FL 33483<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2022-12-31 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[ ] Director [X] 10% Owner<br>[ ] Officer (give title below) [ ] Other (specify below)<br>_ _ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>Celsius Holdings, Inc. [ CELH ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[X] Form filed by One Reporting Person<br>[ ] Form filed by More than One Reporting Person |

---

## Table I - Non-Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | 3. Transaction Code (V) | 3. Transaction Code (V) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | Code | V | Amount | (A) or (D) | Price | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| Common Stock | 2022-05-17 |  | G |  | 1000000 | D | $0 | 2550311 | I | Held by CDS Ventures, LLC<sup>(1)</sup> |
| Common Stock | 2022-05-17 |  | G |  | 1000000 | A | $0 | 4920531 | I | Held by CD Financial, LLC<sup>(1)</sup> |
| Common Stock | 2022-05-18 |  | G |  | 3888413 | D | $0 | 6611587 | I | Held by Carl DeSantis Retained Annuity Trust<sup>(1)</sup> |
| Common Stock | 2022-05-18 |  | G |  | 3888413 | A | $0 | 3888413 | D |  |
| Common Stock | 2022-05-18 |  | G |  | 3888413 | D | $0 | 0 | D |  |
| Common Stock | 2022-05-18 |  | G |  | 3888413 | A | $0 | 4758413 | I | Held by Carl DeSantis Retained Annuity Trust 2<sup>(1)</sup> |
| Common Stock | 2022-08-04 |  | G |  | 500000 | D | $0 | 4324030 | I | Held by CD Financial, LLC<sup>(1)</sup> |
| Common Stock | 2022-08-04 |  | G |  | 500000 | A | $0 | 810000 | I | Held by Carl Angus DeSantis Foundation<sup>(1)</sup> |
| Common Stock | 2022-08-24 |  | G |  | 3000000 | D | $0 | 3611587 | I | Held by Carl DeSantis Retained Annuity Trust<sup>(1)</sup> |
| Common Stock | 2022-08-24 |  | G |  | 3000000 | A | $0 | 3000000 | I | Held Grat 1, LLC<sup>(1)</sup> |
| Common Stock | 2022-11-22 |  | G |  | 600000 | D | $0 | 3011587 | I | Held by Carl DeSantis Retained Annuity Trust<sup>(1)</sup> |
| Common Stock | 2022-11-22 |  | G |  | 600000 | A | $0 | 3600000 | I | Held by Grat 1, LLC<sup>(1)</sup> |

---

## Table II - Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | 4. Transaction Code (V) | 4. Transaction Code (V) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 6. Date Exercisable and Expiration Date | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Underlying Securities | 7. Title and Amount of Underlying Securities | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |

---

### Footnotes:

(1) The Reporting Person owns a 100% beneficial interest in CD Financial, LLC and CDS Ventures of South Florida, LLC. The Reporting Person serves as trustee of the Carl DeSantis Revocable Trust, the Carl DeSantis Retained Annuity Trust, the sole owner of GRAT, LLC, and the Carl DeSantis Retained Annuity Trust 2 and as a Director and sole voting member of the Carl Angus DeSantis Foundation, Inc.

**Signature:** /s/ Carl DeSantis  
**Date:** 2023-02-14

### Remarks:

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 4 (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.

**Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.**