0001213900-20-007297.txt : 20200324
0001213900-20-007297.hdr.sgml : 20200324
20200324204450
ACCESSION NUMBER: 0001213900-20-007297
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200320
FILED AS OF DATE: 20200324
DATE AS OF CHANGE: 20200324
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LOSH J MICHAEL
CENTRAL INDEX KEY: 0001199190
FISCAL YEAR END: 1130
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55804
FILM NUMBER: 20739779
MAIL ADDRESS:
STREET 1: H.B. FULLER COMPANY
STREET 2: P.O. BOX 64683
CITY: ST. PAUL
STATE: MN
ZIP: 55164-0683
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
2020-03-20
0
0001707258
Amesite Inc.
NONE
0001199190
LOSH J MICHAEL
C/O AMESITE INC.
205 EAST WASHINGTON STREET, SUITE B
ANN ARBOR
MN
48104
1
0
0
0
Stock Option (Right to Buy)
2.00
2020-03-20
4
A
0
50000
0
A
2030-03-20
Common Stock
50000
50000
D
Stock Option (Right to Buy)
2.00
2020-03-20
4
A
0
25000
0
A
2030-03-20
Common Stock
25000
25000
D
Stock Option (Right to Buy)
2.00
2020-03-20
4
A
0
75000
0
A
2030-03-20
Common Stock
75000
75000
D
50% of the options shall vest on March 20, 2021; the remaining options shall vest in twelve (12) equal monthly installments thereafter.
/s/ J. Michael Losh
2020-03-24