0001171843-18-006097.txt : 20180815
0001171843-18-006097.hdr.sgml : 20180815
20180815090038
ACCESSION NUMBER: 0001171843-18-006097
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180813
FILED AS OF DATE: 20180815
DATE AS OF CHANGE: 20180815
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Reynolds James L.
CENTRAL INDEX KEY: 0001710759
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38078
FILM NUMBER: 181019845
MAIL ADDRESS:
STREET 1: 620 NEWPORT CENTER DRIVE 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
formfour.xml
OWNERSHIP DOCUMENT
X0306
4
2018-08-13
0
0001563568
ADOMANI, INC.
ADOM
0001710759
Reynolds James L.
10459 APACHE RIVER AVE.
FOUNTAIN VALLEY
CA
92708
1
1
1
0
President and CEO
Common Stock
5523000
D
Common Stock
2018-08-13
4
P
0
5000
.6872
A
5000
I
As UTMA custodian
Common Stock
2018-08-13
4
P
0
5000
.6872
A
5000
I
As UTMA custodian
The shares were purchased by Mr. Reynolds as the custodian for his minor grandchild under a Uniform Transfers to Minors Act ("UTMA") account. Mr. Reynolds disclaims beneficial ownership of these shares, and this report shall not be deemed an admission that the reporting person is the beneficial owner of these shares for purposes of Section 16 or for any other purpose.
/s/ James L. Reynolds
2018-08-15