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