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