0001474506-19-000171.txt : 20190827 0001474506-19-000171.hdr.sgml : 20190827 20190827121636 ACCESSION NUMBER: 0001474506-19-000171 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190827 FILED AS OF DATE: 20190827 DATE AS OF CHANGE: 20190827 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Eisler Jesse Grant CENTRAL INDEX KEY: 0001753350 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38213 FILM NUMBER: 191055881 MAIL ADDRESS: STREET 1: C/O ARCIMOTO, INC. STREET 2: 2034 WEST 2ND AVENUE CITY: EUGENE STATE: OR ZIP: 97402 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Arcimoto Inc CENTRAL INDEX KEY: 0001558583 STANDARD INDUSTRIAL CLASSIFICATION: MOTORCYCLES, BICYCLES & PARTS [3751] IRS NUMBER: 261449404 STATE OF INCORPORATION: OR FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 544 BLAIR BLVD CITY: EUGENE STATE: OR ZIP: 97402 BUSINESS PHONE: 541-683-6293 MAIL ADDRESS: STREET 1: 544 BLAIR BLVD CITY: EUGENE STATE: OR ZIP: 97402 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2019-08-27 0 0001558583 Arcimoto Inc FUV 0001753350 Eisler Jesse Grant C/O ARCIMOTO, INC. 2034 WEST 2ND AVENUE EUGENE OR 97402 1 0 0 0 Convertible Promissory Notes 4.25 2019-08-27 4 J 0 58824 4.25 A Common Stock 58824 58824 D The number of shares of Issuer's common stock was calculated based upon the dollar principal amount ($250,000) divided by the per share price of $4.25. The principal amount of the convertible promissory note is due and payable on August 27, 2020 in (a) cash or (b) Issuer's common stock at a price of $4.25 per share, at the election of the holder of the convertible promissory note. Interest on the convertible promissory note accrues at an annual rate of 10%, compounded monthly. /s/ W. David Mannheim, by Power of Attorney 2019-08-27