0001213900-22-017967.txt : 20220404 0001213900-22-017967.hdr.sgml : 20220404 20220404194721 ACCESSION NUMBER: 0001213900-22-017967 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210928 FILED AS OF DATE: 20220404 DATE AS OF CHANGE: 20220404 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Brewer Barbie CENTRAL INDEX KEY: 0001783755 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39553 FILM NUMBER: 22804739 MAIL ADDRESS: STREET 1: 205 EAST WASHINGTON STREET, SUITE B CITY: ANN ARBOR STATE: MI ZIP: 48104 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 2021-09-28 0 0001807166 Amesite Inc. AMST 0001783755 Brewer Barbie C/O AMESITE INC. 607 SHELBY STREET, SUITE 700 PMB 214 DETROIT MI 48226 1 0 0 0 Stock option (right to buy) 1.78 2021-09-28 4 A 0 9184 0 A 2031-09-27 Common Stock 9184 9184 D Restricted Stock Units 2022-03-31 4 A 0 175439 0 A Common Stock 175439 175439 D The option fully vests on the one-year anniversary of the date of grant. Each restricted stock unit ("RSU") represents a contingent right to receive one share of AMST common stock and/or the cash equivalent of such share. The RSUs vest over one year, with 100% vesting on the first anniversary date of the grant. /s/ Barbie Brewer 2022-04-04