0001209191-21-048215.txt : 20210726
0001209191-21-048215.hdr.sgml : 20210726
20210726173425
ACCESSION NUMBER: 0001209191-21-048215
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210722
FILED AS OF DATE: 20210726
DATE AS OF CHANGE: 20210726
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Harrison Jack
CENTRAL INDEX KEY: 0001729604
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38371
FILM NUMBER: 211115124
MAIL ADDRESS:
STREET 1: 2235 ENTERPRISE STREET STE 110
CITY: ESCONDIDO
STATE: CA
ZIP: 92029
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ONE STOP SYSTEMS, INC.
CENTRAL INDEX KEY: 0001394056
STANDARD INDUSTRIAL CLASSIFICATION: ELECTRONIC COMPUTERS [3571]
IRS NUMBER: 330885351
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2235 ENTERPRISE ST STE 110
CITY: ESCONDIDO
STATE: CA
ZIP: 92029
BUSINESS PHONE: 760-745-9883
MAIL ADDRESS:
STREET 1: 2235 ENTERPRISE ST STE 110
CITY: ESCONDIDO
STATE: CA
ZIP: 92029
FORMER COMPANY:
FORMER CONFORMED NAME: ONE STOP SYSTEMS INC
DATE OF NAME CHANGE: 20070322
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-07-22
0
0001394056
ONE STOP SYSTEMS, INC.
OSS
0001729604
Harrison Jack
2235 ENTERPRISE STREET #110
ESCONDIDO
CA
92029
1
0
0
0
Common Stock
2021-07-22
4
M
0
19767
2.15
A
58884
D
Common Stock Purchase Warrant
2.15
2021-07-22
4
M
0
19767
0.00
D
2019-04-04
2024-04-04
Common Stock
19767
0
I
By LLC
The reporting person beneficially owns the total number of shares reported in this column both directly, as well as indirectly through Jacoma Investments, LLC ("Jacoma") as the sole manager of Jacoma.
The Common Stock Purchase Warrant was held directly be Jacoma, and indirectly by the reporting person as the sole manager of Jacoma.
/s/ Jack Harrison
2021-07-26