0001903596-22-000971.txt : 20221228
0001903596-22-000971.hdr.sgml : 20221228
20221228183814
ACCESSION NUMBER: 0001903596-22-000971
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: Hendrickson David Leigh
CENTRAL INDEX KEY: 0001921983
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41347
FILM NUMBER: 221496009
MAIL ADDRESS:
STREET 1: 2025 SW DEERHOUND AVE
CITY: REDMOND
STATE: OR
ZIP: 97756
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
2022-05-05
0
0001894954
Expion360 Inc.
XPON
0001921983
Hendrickson David Leigh
2025 SW DEERHOUND AVE
REDMOND
OR
97756
1
0
0
0
Options
3.36
2022-05-02
4
A
0
30000
0
A
2022-05-02
2032-05-02
Common Stock
30000
30000
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/ David Hendrickson
2022-12-28