0001171843-18-003914.txt : 20180514
0001171843-18-003914.hdr.sgml : 20180514
20180514165415
ACCESSION NUMBER: 0001171843-18-003914
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180514
FILED AS OF DATE: 20180514
DATE AS OF CHANGE: 20180514
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: NETTLES GARY W
CENTRAL INDEX KEY: 0001266333
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38078
FILM NUMBER: 18831500
MAIL ADDRESS:
STREET 1: 620 NEWPORT CENTER DRIVE
STREET 2: SUITE 1100
CITY: NEWPORT BEACH
STATE: CA
ZIP: 92660
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ADOMANI, INC.
CENTRAL INDEX KEY: 0001563568
STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLE PARTS & ACCESSORIES [3714]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4740 GREEN RIVER ROAD
STREET 2: SUITE 106
CITY: CORONA
STATE: CA
ZIP: 92880
BUSINESS PHONE: (951) 407-9860 X205
MAIL ADDRESS:
STREET 1: 4740 GREEN RIVER ROAD
STREET 2: SUITE 106
CITY: CORONA
STATE: CA
ZIP: 92880
FORMER COMPANY:
FORMER CONFORMED NAME: Adomani, Inc.
DATE OF NAME CHANGE: 20121203
4
1
f4_051418nettles.xml
OWNERSHIP DOCUMENT
X0306
4
2018-05-14
0
0001563568
ADOMANI, INC.
ADOM
0001266333
NETTLES GARY W
2539 KINNARD AVE.
HENDERSON
NV
89074
1
0
0
0
Common Stock
2018-05-14
4
P
0
10000
0.6058
A
15000
I
By SEP-IRA
Common Stock
2018-05-14
4
P
0
5000
0.6059
A
15000
I
By SEP-IRA
These shares are owned directly by the SEP FBO Gary W. Nettles, Sun American Trust Co. Custodian, and indirectly by Gary W. Nettles. Gary W. Nettles is a director of the issuer.
/s/ Gary W. Nettles
2018-05-14