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