0001493152-21-000978.txt : 20210113 0001493152-21-000978.hdr.sgml : 20210113 20210113180437 ACCESSION NUMBER: 0001493152-21-000978 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210111 FILED AS OF DATE: 20210113 DATE AS OF CHANGE: 20210113 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kothari Shanoop CENTRAL INDEX KEY: 0001788856 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39338 FILM NUMBER: 21527027 MAIL ADDRESS: STREET 1: 2865 SCOTT STREET, SUITE 107 CITY: VISTA STATE: CA ZIP: 92081 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NuZee, Inc. CENTRAL INDEX KEY: 0001527613 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-MISCELLANEOUS RETAIL [5900] IRS NUMBER: 383849791 STATE OF INCORPORATION: NV FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 1700 CAPITAL AVENUE STREET 2: SUITE 100 CITY: PLANO STATE: TX ZIP: 75074 BUSINESS PHONE: 713.530.7688 MAIL ADDRESS: STREET 1: 1700 CAPITAL AVENUE STREET 2: SUITE 100 CITY: PLANO STATE: TX ZIP: 75074 FORMER COMPANY: FORMER CONFORMED NAME: Havana Furnishings Inc. DATE OF NAME CHANGE: 20110815 FORMER COMPANY: FORMER CONFORMED NAME: Havanna Furnishings Inc. DATE OF NAME CHANGE: 20110809 4 1 ownership.xml X0306 4 2021-01-11 0 0001527613 NuZee, Inc. NUZE 0001788856 Kothari Shanoop C/O NUZEE, INC. 1401 CAPITAL AVENUE, SUITE B PLANO, TX 75074 1 1 0 0 See Remarks Common Stock 2021-01-11 4 A 0 152215 0.00 A 152215 D Common Stock 2021-01-11 4 F 0 15000 9.12 D 137215 D Represents 152,215 restricted shares of the Issuer's common stock which vest, subject to the reporting person's continued employment, as follows: (i) 50,739 restricted shares vested immediately; (ii) 50,739 restricted shares will vest on March 31, 2021; and (iii) 50,737 restricted shares vest on March 31, 2022. Shares were forfeited solely to cover tax withholding obligations arising automatically upon partial vesting of restricted shares and issuance of the vested restricted shares. Vice President, Chief Financial Officer and Chief Operating Officer /s/ Shanoop Kothari 2021-01-13