0001213900-24-004625.txt : 20240118
0001213900-24-004625.hdr.sgml : 20240118
20240118183907
ACCESSION NUMBER: 0001213900-24-004625
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240116
FILED AS OF DATE: 20240118
DATE AS OF CHANGE: 20240118
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: 24543272
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
2024-01-16
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
2024-01-16
4
A
0
36630
0
A
Common Stock
36630
36630
I
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 RSUs vest over one year, with 100% vesting on the first anniversary date of the grant.
/s/ J. Sherrie Farrell, Attorney-in-Fact
2024-01-18