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