0001903596-22-000976.txt : 20221228 0001903596-22-000976.hdr.sgml : 20221228 20221228184001 ACCESSION NUMBER: 0001903596-22-000976 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220502 FILED AS OF DATE: 20221228 DATE AS OF CHANGE: 20221228 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shum Steve CENTRAL INDEX KEY: 0001578898 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-41347 FILM NUMBER: 221496015 MAIL ADDRESS: STREET 1: 9025 SW HILLMAN COURT, SUITE 3126 CITY: WILSONVILLE STATE: OR ZIP: 97070 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Expion360 Inc. CENTRAL INDEX KEY: 0001894954 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS ELECTRICAL MACHINERY, EQUIPMENT & SUPPLIES [3690] IRS NUMBER: 812701049 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2025 SW DEERHOUND AVE CITY: REDMOND STATE: OR ZIP: 97756 BUSINESS PHONE: 541 -797-6714 MAIL ADDRESS: STREET 1: 2025 SW DEERHOUND AVE CITY: REDMOND STATE: OR ZIP: 97756 4/A 1 ownership.xml X0306 4/A 2022-05-02 2022-05-06 0 0001894954 Expion360 Inc. XPON 0001578898 Shum Steve 2025 SW DEERHOUND AVE REDMOND OR 97756 1 0 0 0 Option 3.36 2022-05-02 4 A 0 40000 0 A 2022-05-02 2032-05-02 Common Stock 40000 40000 D This Form 4 is being filed to amend the exercise price of the granted options previously reported as being $3.35 to $3.36. /s/ Steve Shum 2022-12-28