0001213900-24-000916.txt : 20240103
0001213900-24-000916.hdr.sgml : 20240103
20240103191538
ACCESSION NUMBER: 0001213900-24-000916
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231229
FILED AS OF DATE: 20240103
DATE AS OF CHANGE: 20240103
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LOSH J MICHAEL
CENTRAL INDEX KEY: 0001199190
ORGANIZATION NAME:
FISCAL YEAR END: 1130
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39553
FILM NUMBER: 24509122
MAIL ADDRESS:
STREET 1: H.B. FULLER COMPANY
STREET 2: P.O. BOX 64683
CITY: ST. PAUL
STATE: MN
ZIP: 55164-0683
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Amesite Inc.
CENTRAL INDEX KEY: 0001807166
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
ORGANIZATION NAME: 06 Technology
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
X0508
4
2023-12-29
0
0001807166
Amesite Inc.
AMST
0001199190
LOSH J MICHAEL
C/O AMESITE INC.
607 SHELBY STREET, SUITE 700 PMB 214
DETROIT
MI
48226
1
0
0
0
0
Restricted Stock Units
2023-12-29
4
A
0
6444
0
A
Common Stock
6444
38369
I
By J. Michael Losh Irrevocable Qualified Annuity Trust #7
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 reported securities were issued as "deferred stock units" in lieu of cash compensation earned for services as a director, and the number of deferred stock units received was calculated based on the closing share price on the last day of the quarter. The deferred stock units or cash equivalent will be issued to the reporting person upon completion of service as a member of the board of directors or, if earlier, a change in control.
/s/ Sherrie Farrell, Attorney-in-Fact
2024-01-03