0001213900-20-028983.txt : 20200929 0001213900-20-028983.hdr.sgml : 20200929 20200929192142 ACCESSION NUMBER: 0001213900-20-028983 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200929 FILED AS OF DATE: 20200929 DATE AS OF CHANGE: 20200929 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: 001-39553 FILM NUMBER: 201210237 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: 0001807166 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 823431717 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 205 EAST WASHINGTON STREET STREET 2: SUITE B CITY: ANN ARBOR STATE: MI ZIP: 48104 BUSINESS PHONE: (650) 516-7633 MAIL ADDRESS: STREET 1: 205 EAST WASHINGTON STREET STREET 2: SUITE B CITY: ANN ARBOR STATE: MI ZIP: 48104 FORMER COMPANY: FORMER CONFORMED NAME: Amesite Operating Co DATE OF NAME CHANGE: 20200318 4 1 ownership.xml X0306 4 2020-09-29 0 0001807166 Amesite Inc. AMST 0001199190 LOSH J MICHAEL C/O AMESITE INC. 607 SHELBY STREET, SUITE 700 PMB 214 DETROIT MI 48226 1 0 0 0 Common Stock 2020-09-29 4 P 0 10000 5.00 A 51666 I J. Michael Losh Irrevocable Qualified Annuity Trust #7 /s/ Michael J. Losh 2020-09-29