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