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