0001213900-20-008705.txt : 20200406 0001213900-20-008705.hdr.sgml : 20200406 20200406191320 ACCESSION NUMBER: 0001213900-20-008705 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200331 FILED AS OF DATE: 20200406 DATE AS OF CHANGE: 20200406 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: OMENN GILBERT S CENTRAL INDEX KEY: 0001184227 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55804 FILM NUMBER: 20778077 MAIL ADDRESS: STREET 1: AMGEN INC. STREET 2: ONE AMGEN CENTER DRIVE CITY: THOUSAND OAKS STATE: CA ZIP: 91320-1799 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Amesite Inc. CENTRAL INDEX KEY: 0001707258 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 821433756 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 207 EAST WASHINGTON STREET CITY: ANN ARBOR STATE: MI ZIP: 48104 BUSINESS PHONE: 650-516-7633 MAIL ADDRESS: STREET 1: 207 EAST WASHINGTON STREET CITY: ANN ARBOR STATE: MI ZIP: 48104 FORMER COMPANY: FORMER CONFORMED NAME: Lola One Acquisition Corp DATE OF NAME CHANGE: 20170522 4 1 ownership.xml OWNERSHIP DOCUMENT X0306 4 2020-03-31 0 0001707258 Amesite Inc. NONE 0001184227 OMENN GILBERT S C/O AMESITE INC. 205 EAST WASHINGTON STREET SUITE B ANN ARBOR MI 48104 1 0 0 0 Stock Option (Right to Buy) 2.00 2020-03-31 4 A 0 50000 0 A 2030-03-31 Common Stock 50000 50000 D Stock Option (Right to Buy) 2.00 2020-03-31 4 A 0 10000 0 A 2030-03-31 Common Stock 10000 10000 D 50% of the options shall vest on March 31, 2021 and the remaining 50% of the options shall vest and become exercisable in twelve (12) successive equal monthly installments thereafter. 50% of the options shall vest on March 31, 2021 and the remaining 50% of the options shall vest and become exercisable in twelve (12) successive equal monthly installments thereafter. /s/ Gilbert S. Omenn, M.D., Ph.D. 2020-04-06