0001903596-22-000973.txt : 20221228 0001903596-22-000973.hdr.sgml : 20221228 20221228183856 ACCESSION NUMBER: 0001903596-22-000973 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: Yozamp John Henry CENTRAL INDEX KEY: 0001921762 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-41347 FILM NUMBER: 221496011 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] 0001921762 Yozamp John Henry 2025 SW DEERHOUND AVE REDMOND OR 97756 1 1 1 0 Chief Executive Officer Options 3.70 2022-05-02 4 A 0 179500 0 A 2022-05-02 2027-05-02 Common Stock 179500 179500 D This Form 4 is being filed to amend the number of options previously reported as being granted from 250,000 to 179,500 and to amend the exercise price of the granted options previously reported as being $3.69 to $3.70. In addition, the original Form 4 also inadvertently reported the grant of options in Table I and this Form 4 correctly reports the grant of options in Table II. /s/ John Yozamp 2022-12-28