0001209191-21-066827.txt : 20211124 0001209191-21-066827.hdr.sgml : 20211124 20211124172440 ACCESSION NUMBER: 0001209191-21-066827 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211122 FILED AS OF DATE: 20211124 DATE AS OF CHANGE: 20211124 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: POTASHNER KENNETH F CENTRAL INDEX KEY: 0001211644 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38371 FILM NUMBER: 211448115 MAIL ADDRESS: STREET 1: C/O MAXWELL TECHNOLOGIES INC STREET 2: 9244 BALBOA AVE CITY: SAN DIEGO STATE: CA ZIP: 92123 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ONE STOP SYSTEMS, INC. CENTRAL INDEX KEY: 0001394056 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRONIC COMPUTERS [3571] IRS NUMBER: 330885351 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2235 ENTERPRISE ST STE 110 CITY: ESCONDIDO STATE: CA ZIP: 92029 BUSINESS PHONE: 760-745-9883 MAIL ADDRESS: STREET 1: 2235 ENTERPRISE ST STE 110 CITY: ESCONDIDO STATE: CA ZIP: 92029 FORMER COMPANY: FORMER CONFORMED NAME: ONE STOP SYSTEMS INC DATE OF NAME CHANGE: 20070322 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-11-22 0 0001394056 ONE STOP SYSTEMS, INC. OSS 0001211644 POTASHNER KENNETH F 2235 ENTERPRISE STREET #110 ESCONDIDO CA 92029 1 0 0 0 Common Stock 2021-11-22 4 M 0 50000 0.76 A 227866 D Employee Stock Option (right to buy) 0.76 2021-11-22 4 M 0 50000 0.00 D 2021-12-06 Common Stock 50000 0 D The option is fully vested. /s/ Kenneth Potashner 2021-11-24