0001683168-21-001425.txt : 20210414 0001683168-21-001425.hdr.sgml : 20210414 20210414215416 ACCESSION NUMBER: 0001683168-21-001425 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210414 FILED AS OF DATE: 20210414 DATE AS OF CHANGE: 20210414 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Nicklas Michael CENTRAL INDEX KEY: 0001855177 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40334 FILM NUMBER: 21827141 MAIL ADDRESS: STREET 1: C/O ESPORTS TECHNOLOGIES, INC. STREET 2: 720 SOUTH 7TH STREET, 3RD FLOOR CITY: LAS VEGAS STATE: NV ZIP: 89101 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Esports Technologies, Inc. CENTRAL INDEX KEY: 0001829966 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-AMUSEMENT & RECREATION SERVICES [7900] IRS NUMBER: 853201309 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 720 SOUTH 7TH STREET 3RD FLOOR CITY: LAS VEGAS STATE: NV ZIP: 89101 BUSINESS PHONE: 7024811779 MAIL ADDRESS: STREET 1: 720 SOUTH 7TH STREET 3RD FLOOR CITY: LAS VEGAS STATE: NV ZIP: 89101 FORMER COMPANY: FORMER CONFORMED NAME: eSports Technologies, Inc. DATE OF NAME CHANGE: 20201026 3 1 ownership.xml X0206 3 2021-04-14 0 0001829966 Esports Technologies, Inc. EBET 0001855177 Nicklas Michael C/O ESPORTS TECHNOLOGIES, INC. 720 SOUTH 7TH STREET, 3RD FLOOR LAS VEGAS NV 89101 1 0 0 0 Stock option (right to buy) 2.00 2030-11-25 Common Stock 100000 D The stock option set forth in this table vests in two equal annual installments beginning on the first anniversary of the issuance date, or November 25, 2020, subject to the grantee's continued service on the Company's Board of Directors on each vesting date. /s/ Michael Nicklas 2021-04-14