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