0001213900-23-097519.txt : 20231221 0001213900-23-097519.hdr.sgml : 20231221 20231221101648 ACCESSION NUMBER: 0001213900-23-097519 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231220 FILED AS OF DATE: 20231221 DATE AS OF CHANGE: 20231221 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sastry Ann Marie CENTRAL INDEX KEY: 0001735506 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39553 FILM NUMBER: 231503197 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: 0001807166 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] ORGANIZATION NAME: 06 Technology IRS NUMBER: 823431717 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: Amesite Operating Co DATE OF NAME CHANGE: 20200318 4 1 ownership.xml X0508 4 2023-12-20 0 0001807166 Amesite Inc. AMST 0001735506 Sastry Ann Marie C/O AMESITE INC. 607 SHELBY STREET, SUITE 700 PMB 214 DETROIT MI 48226 1 1 0 0 CHIEF EXECUTIVE OFFICER 0 Common Stock 2023-12-20 4 P 0 10000 1.85 A 542098 I Ann Marie Sastry Declaration of Trust dated January 24, 2002, as amended /s/ Ann Marie Sastry 2023-12-21