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