SEC FORM 4 SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
ROUHANA WILLIAM J JR

(Last) (First) (Middle)
C/O CHICKEN SOUP FOR THE SOUL ENTERTAINM
132 E. PUTNAM AVENUE, FL. 2

(Street)
COS COB CT 06807

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Chicken Soup for the Soul Entertainment, Inc. [ CSSE ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
Chief Executive Officer
3. Date of Earliest Transaction (Month/Day/Year)
04/03/2023
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Class A Common Stock 04/03/2023 P 217,000(1) A $2.3 510,108 I by Trema, LLC(2)
Class A Common Stock 04/03/2023 P 1,643,015(3) A $2.3 2,153,123 I by Chicken Soup for the Soul, LLC(4)
Class A Common Stock 04/03/2023 A 1,131,148(5) A $3.05 3,284,271 I by Chicken Soup for the Soul, LLC(4)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Class B Common Stock (6) (6) (6) Class A Common Stock 7,654,506 7,654,506 I By Chicken Soup for the Soul, LLC(4)
Class W Warrants $7.5 08/17/2017 06/30/2023 Class A Common Stock 135,608 135,608 I By Trema, LLC(2)
1. Name and Address of Reporting Person*
ROUHANA WILLIAM J JR

(Last) (First) (Middle)
C/O CHICKEN SOUP FOR THE SOUL ENTERTAINM
132 E. PUTNAM AVENUE, FL. 2

(Street)
COS COB CT 06807

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Chicken Soup for the Soul Holdings, LLC

(Last) (First) (Middle)
C/O CHICKEN SOUP FOR THE SOUL ENTERTAINM
132 E. PUTNAM AVENUE, FL. 2

(Street)
COS COB CT 06807

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Chicken Soup for the Soul Productions, LLC

(Last) (First) (Middle)
C/O CHICKEN SOUP FOR THE SOUL ENTERTAINM
132 E. PUTNAM AVENUE, FL. 2

(Street)
COS COB CT 06807

(City) (State) (Zip)
Explanation of Responses:
1. Represents shares of the Issuer's Class A Common Stock purchased as part of the offering of shares made by the Issuer on April 3, 2023.
2. Trema, LLC is an entity controlled by Mr. Rouhana.
3. Represents shares of the Issuer's Class A Common Stock purchased as part of the offering of shares made by the Issuer on April 3, 2023.
4. Chicken Soup for the Soul, LLC is an entity controlled by Mr. Rouhana. This entity was formerly known as "Chicken Soup for the Soul Productions, LLC".
5. Represents shares of the Issuer's Class A Common Stock issued to Chicken Soup for the Soul, LLC pursuant to the CSS Agreements Modification dated March 30, 2023.
6. The Class B Common Stock is convertible into the Issuer's Class A Common Stock as described under the heading "Description of Securities - Common Stock" in the Issuer's offering statement on Form 1-A (File No. 024-10704). The Class B Common Stock has no expiration date.
William J. Rouhana, Jr. 04/03/2023
** 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 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).
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