0001161697-21-000432.txt : 20210914 0001161697-21-000432.hdr.sgml : 20210914 20210914211727 ACCESSION NUMBER: 0001161697-21-000432 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210910 FILED AS OF DATE: 20210914 DATE AS OF CHANGE: 20210914 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ERICKSON RONALD P CENTRAL INDEX KEY: 0001140319 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30262 FILM NUMBER: 211253928 MAIL ADDRESS: STREET 1: 9437 NE CORAL COURT CITY: BAINBRIDGE ISLAND STATE: WA ZIP: 98110 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: KNOW LABS, INC. CENTRAL INDEX KEY: 0001074828 STANDARD INDUSTRIAL CLASSIFICATION: MEASURING & CONTROLLING DEVICES, NEC [3829] IRS NUMBER: 900273142 STATE OF INCORPORATION: NV FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 500 UNION STREET STREET 2: SUITE 810 CITY: SEATTLE STATE: WA ZIP: 98101 BUSINESS PHONE: 206-903-1351 MAIL ADDRESS: STREET 1: 500 UNION STREET STREET 2: SUITE 810 CITY: SEATTLE STATE: WA ZIP: 98101 FORMER COMPANY: FORMER CONFORMED NAME: VISUALANT INC DATE OF NAME CHANGE: 20070220 FORMER COMPANY: FORMER CONFORMED NAME: Visualant, INC DATE OF NAME CHANGE: 20050106 FORMER COMPANY: FORMER CONFORMED NAME: STARBERRYS CORP DATE OF NAME CHANGE: 20020918 4 1 form_4.xml FORM 4 FOR 09-10-2021 X0306 4 2021-09-10 0 0001074828 KNOW LABS, INC. KNWN 0001140319 ERICKSON RONALD P 500 UNION STREET SUITE 810 SEATTLE WA 98101 1 0 0 1 Chairman Common Stock 520934 D Common Stock 2021-09-10 4 P 0 5000 2.53 A 8334 I . Common Stock 1467 I . Common Stock 20335 I . Common Stock 910001 I . Common Stock 2014 I . Warrant to Purchase Common Stock 0.50 2018-01-31 2023-01-31 Common Stock 855000 855000 D Warrant to Purchase Common Stock 0.50 2018-03-16 2023-03-16 Common Stock 1039666 1039666 I . Option to Purchase Common Stock 1.10 2024-11-04 Common Stock 1200000 1200000 D Warrant to Purchase Common Stock 1.53 2020-12-15 2025-12-15 Common Stock 2000000 2000000 D Option to Purchase Common Stock 1.53 2025-12-15 Common Stock 3731350 3731350 D Held by Dia Armenta, the Reporting Person's wife. Held by Ronald Erickson, the Reporting Person and Dia Armenta, the Reporting Person's wife. Held by Juliz Limited Partnership- Family LP. Held by J3E2A2Z Limited Partnership. Held by Cerillion N4, an entity that is 50% owned by Dia Armenta, the Reporting Person's wife. Price subject to adjustment. Option shares vest upon the Company's successful listing of its Common Stock on Nasdaq or the New York Stock Exchange (including the NYSE American Market). Milestone-based Option shares vest upon the Company's successful milestone achievements set forth in two Stock Option Agreements dated 12/15/2020. /s/ Ronald P. Erickson 2021-09-14