0001213900-18-005341.txt : 20180501
0001213900-18-005341.hdr.sgml : 20180501
20180501173441
ACCESSION NUMBER: 0001213900-18-005341
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180427
FILED AS OF DATE: 20180501
DATE AS OF CHANGE: 20180501
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Barkett Anthony M.
CENTRAL INDEX KEY: 0001735809
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55804
FILM NUMBER: 18796716
MAIL ADDRESS:
STREET 1: C/O LOLA ONE ACQUISITION CORPORATION
STREET 2: 2255 GLADES ROAD, SUITE 324A
CITY: BOCA RATON
STATE: FL
ZIP: 33431
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Amesite Inc.
CENTRAL INDEX KEY: 0001707258
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 821433756
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0630
BUSINESS ADDRESS:
STREET 1: 205 EAST WASHINGTON STREET
STREET 2: SUITE B
CITY: ANN ARBOR
STATE: MI
ZIP: 48104
BUSINESS PHONE: 650-516-7633
MAIL ADDRESS:
STREET 1: 205 EAST WASHINGTON STREET
STREET 2: SUITE B
CITY: ANN ARBOR
STATE: MI
ZIP: 48104
FORMER COMPANY:
FORMER CONFORMED NAME: Lola One Acquisition Corp
DATE OF NAME CHANGE: 20170522
3
1
f3042718barkett_amesite.xml
OWNERSHIP DOCUMENT
X0206
3
2018-04-27
0
0001707258
Amesite Inc.
NONE
0001735809
Barkett Anthony M.
C/O AMESITE INC.
205 EAST WASHINGTON STREET, SUITE B
ANN ARBOR,
MI
48104
1
0
0
0
Stock Option (Right to Buy)
1.03
2028-03-29
Common Stock
72917
D
These options were acquired pursuant to an Agreement and Plan of Merger and Reorganization, dated as of April 26, 2018 (the "Merger Agreement"), pursuant to which a wholly-owned subsidiary of the Company merged with and into Amesite Operating Company, formerly Amesite Inc. ("Amesite"). Pursuant to the Merger Agreement, the then outstanding shares of Amesite's capital stock were cancelled and were automatically converted into the right to received shares of the Company's common stock on a 1.4583333-1 basis upon closing of the merger.
(Continued from Footnote 1) This stock option was granted under Amesite's 2017 Equity Incentive Plan and vests over two (2) years at a rate of fifty percent (50%) after 12 months of service, and in twelve (12) equal monthly installments thereafter. This stock option represents options that the Company issued in connection with the merger pursuant to which options to purchase Amesite capital stock were converted into options to purchase the Company's common stock on a 1.4583333-1 basis.
/s/ Anthony M. Barkett
2018-05-01