0001474506-19-000163.txt : 20190816 0001474506-19-000163.hdr.sgml : 20190816 20190816172732 ACCESSION NUMBER: 0001474506-19-000163 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190814 FILED AS OF DATE: 20190816 DATE AS OF CHANGE: 20190816 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Eisler Jesse Grant CENTRAL INDEX KEY: 0001753350 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38213 FILM NUMBER: 191034277 MAIL ADDRESS: STREET 1: C/O ARCIMOTO, INC. STREET 2: 2034 WEST 2ND AVENUE CITY: EUGENE STATE: OR ZIP: 97402 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Arcimoto Inc CENTRAL INDEX KEY: 0001558583 STANDARD INDUSTRIAL CLASSIFICATION: MOTORCYCLES, BICYCLES & PARTS [3751] IRS NUMBER: 261449404 STATE OF INCORPORATION: OR FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 544 BLAIR BLVD CITY: EUGENE STATE: OR ZIP: 97402 BUSINESS PHONE: 541-683-6293 MAIL ADDRESS: STREET 1: 544 BLAIR BLVD CITY: EUGENE STATE: OR ZIP: 97402 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2019-08-14 0 0001558583 Arcimoto Inc FUV 0001753350 Eisler Jesse Grant C/O ARCIMOTO, INC. 2034 WEST 2ND AVENUE EUGENE OR 97402 1 0 0 0 2019 Short-term Notes 4.25 2019-08-14 4 J 0 12517 4.25 D Common Stock 12517 0 D Convertible Promissory Notes 4.25 2019-08-14 4 J 0 12517 4.25 A Common Stock 12517 12517 D Convertible Promissory Notes 4.25 2019-08-15 4 J 0 23529 4.25 A Common Stock 23529 23529 D The number of shares of Issuer's common stock was calculated based upon the dollar amounts of either principal or interest divided by the per share price of $4.25. The principal amount of the 2019 Short-term Notes, together with interest accrued thereon was payable, at the option of the holder, in (a) cash, (b) Issuer's common stock (valued at a price of $4.25 per share) or (c) in the event Issuer issued convertible promissory notes to third parties before the original maturity date (two months after the issuance), in a convertible promissory note on the same terms as purchased by such third parties. On August 14, 2019, the principal ($50,000, representing 11,765 shares) and accrued interest ($3197.97, representing 752 shares) on the 2019 Short-term Notes were exchanged for $53,197.97 (representing 12,517 shares) in principal amount of convertible promissory notes. In addition, on August 15, 2019, the reporting person acquired an additional $100,000 principal amount of convertible promissory notes (representing an additional 23,529 shares). The principal amount of the convertible promissory notes is due and payable on August 14 and 15, 2020, respectively, in (a) cash or (b) Issuer's common stock at a price of $4.25 per share, at the election of the holder of the convertible promissory notes. Interest on the convertible promissory notes accrues at an annual rate of 10%, compounded monthly. /s/ W. David Mannheim, by Power of Attorney 2019-08-16