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