FORM 3
        
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

OMB APPROVAL
OMB Number: 3235-0104
Expires: February 28, 2011
Estimated average burden
hours per response... 0.5
                      
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
                      

1. Name and Address of Reporting Person *

Goldman Robert S

2. Date of Event Requiring Statement (MM/DD/YYYY)
12/27/2010 

3. Issuer Name and Ticker or Trading Symbol

Clean Slate, Inc. [DRWN]

(Last)        (First)        (Middle)

6742 FOREST HILL BLVD., STE. 205

4. Relationship of Reporting Person(s) to Issuer (Check all applicable)

_____ Director                            ___ X ___ 10% Owner
___ X ___ Officer (give title below)          _____ Other (specify below)
President /

(Street)

WEST PALM BEACH, FL 33413       

(City)              (State)              (Zip)
5. If Amendment, Date Original Filed (MM/DD/YYYY)

 

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 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   367000000   D   (1)  

Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 4) 		2. Date Exercisable and Expiration Date
(MM/DD/YYYY) 		3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4) 		4. Conversion or Exercise Price of Derivative Security 5. Ownership Form of Derivative Security: 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

Explanation of Responses:
( 1)  Common stock reported herein is held by Robert S. Goldman and Rochelle S. Zandel, jointly.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
Goldman Robert S
6742 FOREST HILL BLVD., STE. 205
WEST PALM BEACH, FL 33413
X President
Zandel Rochelle S
6742 FOREST HILL BLVD., STE. 205
WEST PALM BEACH, FL 33413
X


Signatures
/s/ ROBERT S. GOLDMAN 6/9/2011
** Signature of Reporting Person Date

/s/ ROBERT S. GOLDMAN, as Authorized Signatory for Rochelle S. Zandel 6/9/2011
** 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).
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 control number.
A Clean Slate (CE) (USOTC:DRWN)
Historical Stock Chart
From Dec 2024 to Jan 2025 Click Here for more A Clean Slate (CE) Charts.
A Clean Slate (CE) (USOTC:DRWN)
Historical Stock Chart
From Jan 2024 to Jan 2025 Click Here for more A Clean Slate (CE) Charts.