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)
08/21/2024
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
Common Stock 08/21/2024 J 153,718 A $1.05 2,191,146 D(1)(2)
Common Stock 08/21/2024 J 153,718 A $1.05 2,191,146 I(1)(2) By Spouse
Common Stock 02/05/2025 A 2,933,219 A $0 5,124,365 D(2)(3)
Common Stock 02/05/2025 A 2,933,219 A $0 5,124,365 I(2)(3) By Spouse
Common Stock 3,800,000 I By Trust(4)
Common Stock 285 I By LLC(5)
Common Stock 60,000 I By children
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
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 acquisition of shares of common stock by Mr. Joseph La Rosa on August 21, 2024 pursuant to a Membership Interest Purchase Agreement by and among the Issuer, Nona Title Agency LLC ("Nona Title"), and three selling members of Nona Title (the "Selling Members"), including Mr. Joseph La Rosa, who owned and sold 49% of the Membership Interests of Nona Title.
2. 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 shares of common stock directly and Ms. La Rosa owns them indirectly as Mr. La Rosa's spouse.
3. Represents a single grant of shares of common stock of the Issuer, pursuant to Amendment No. 4 to the Amended and Restated Employment Agreement between the Issuer and Mr. La Rosa signed on February 3, 2025.
4. Owned by JLR-JCCLT1 Land Trust, controlled by Mr. Joseph La Rosa. Mr. Joseph La Rosa is the trustee of the trust.
5. Owned by Celebration Office Condos, LLC, a company owned and controlled by Joseph La Rosa.
/s/ Joseph La Rosa 02/06/2025
/s/ Deana La Rosa 02/06/2025
** 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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