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).
  
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*
LA ROSA JOSEPH

(Last) (First) (Middle)
1420 CELEBRATION BLVD.,
2ND FLOOR

(Street)
CELEBRATION FL 34747

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
La Rosa Holdings Corp. [ LRHC ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
CEO, interim CFO
3. Date of Earliest Transaction (Month/Day/Year)
12/04/2024
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
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
Stock Option (Right to Buy) $0.6699 12/04/2024 A 600,000 12/04/2024 12/04/2034 Common Stock 600,000 $0 600,000 D(1)
Stock Option (Right to Buy) $0.6699 12/04/2024 A 600,000 12/04/2024 12/04/2034 Common Stock 600,000 $0 600,000 I(1) By Spouse
1. Name and Address of Reporting Person*
LA ROSA JOSEPH

(Last) (First) (Middle)
1420 CELEBRATION BLVD.,
2ND FLOOR

(Street)
CELEBRATION FL 34747

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
X Director X 10% Owner
X Officer (give title below) Other (specify below)
CEO, interim CFO
1. Name and Address of Reporting Person*
LA ROSA DEANA

(Last) (First) (Middle)
1420 CELEBRATION BLVD.,
2ND FLOOR

(Street)
CELEBRATION FL 34747

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Operating Officer
Explanation of Responses:
1. Represents a single grant to Joseph La Rosa of a ten year non-qualified stock option granted on December 4, 2024, having an exercise price of $0.6699, pursuant to Amendment No. 2 to the Amended and Restated Employment Agreement between the Issuer and Mr. La Rosa signed on December 7, 2023, 100% of which vested on the date of grant. This form is filed jointly by each of the reporting persons listed above. Joseph La Rosa and Deana La Rosa, Issuer's Chief Operating Officer, are husband and wife. Mr. La Rosa owns the stock option directly and Ms. La Rosa owns it indirectly as Mr. La Rosa's spouse.
/s/ Joseph La Rosa 12/06/2024
/s/ Deana La Rosa 12/06/2024
** 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 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.

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