0001683168-21-001650.txt : 20210430 0001683168-21-001650.hdr.sgml : 20210430 20210430155800 ACCESSION NUMBER: 0001683168-21-001650 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210429 FILED AS OF DATE: 20210430 DATE AS OF CHANGE: 20210430 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Steinmetz Nicole Franziska CENTRAL INDEX KEY: 0001822748 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22182 FILM NUMBER: 21877586 MAIL ADDRESS: STREET 1: 871 WILBUR AVENUE CITY: SAN DIEGO STATE: CA ZIP: 92019 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Mosaic ImmunoEngineering Inc. CENTRAL INDEX KEY: 0000836564 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 841070278 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 19881 BROOKHURST STREET, C-245 CITY: HUNTINGTON BEACH STATE: CA ZIP: 92646 BUSINESS PHONE: 657-208-0890 MAIL ADDRESS: STREET 1: 19881 BROOKHURST STREET, C-245 CITY: HUNTINGTON BEACH STATE: CA ZIP: 92646 FORMER COMPANY: FORMER CONFORMED NAME: PATRIOT SCIENTIFIC CORP DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: PATRIOT FINANCIAL CORP DATE OF NAME CHANGE: 19920521 4 1 ownership.xml X0306 4 2021-04-29 0 0000836564 Mosaic ImmunoEngineering Inc. CPMV 0001822748 Steinmetz Nicole Franziska 1537 SOUTH NOVATO BLVD., #5 NOVATO CA 94947 1 0 1 0 Restricted Stock Units 2021-04-29 4 A 0 5357 2.80 A 2022-08-31 Common Stock 5357 5357 D Each Restricted Stock Unit ("RSU") represents the contingent right to receive, upon vesting, one share of the Issuer's Common Stock. RSU's granted under the 2020 Mosaic ImmunoEngineering Omnibus Incentive Plan as part of the reporting person's consulting agreement executed on April 29, 2021. RSUs will vest 100% on August 31, 2022, subject to the reporting person's continuous service to the Issuer on such vesting date. /s/ Paul Lytle, as attorney-in-fact for Nicole Steinmetz 2021-04-30