0001903596-24-000017.txt : 20240117 0001903596-24-000017.hdr.sgml : 20240117 20240117205809 ACCESSION NUMBER: 0001903596-24-000017 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240116 FILED AS OF DATE: 20240117 DATE AS OF CHANGE: 20240117 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Aydelott Gregory Scott CENTRAL INDEX KEY: 0001929418 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41347 FILM NUMBER: 24539925 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] ORGANIZATION NAME: 04 Manufacturing 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 1 ownership.xml X0508 4 2024-01-16 0 0001894954 Expion360 Inc. XPON 0001929418 Aydelott Gregory Scott C/O EXPION360 INC. 2025 SW DEERHOUND AVE REDMOND OR 97756 0 1 0 0 Chief Financial Officer 0 Common Stock 2024-01-16 4 A 0 2643 0.00 D 63758 D Common Stock 2024-01-16 4 A 0 1982 0.00 D 65740 D Reflects a grant of restricted stock units ("RSUs") made to the Reporting Person under the Issuer's 2021 Incentive Award Plan (the "Plan"). Each RSU represents a contingent right to receive one share of the Issuer's common stock, par value $0.001 per share ("Common Stock"). The number of RSUs granted is equal to $12,000 divided by the closing price of the Common Stock on the grant date, which was January 16, 2024. The RSUs shall vest in four equal installments on January 16, 2024, April 1, 2024, July 1, 2024 and October 1, 2024, subject to the Reporting Person's continued service to the Issuer through each vesting date. Reflects a grant of RSUs made to the Reporting Person under the Plan. The number of RSUs granted is equal to $9,000 divided by the closing price of the Common Stock on the grant date, which was January 16, 2024. The RSUs vested in full on January 16, 2024. Includes (i) 4,625 RSUs granted to the Reporting Person on January 16, 2024 under the Plan, which are subject to vesting as reported above, (ii) 58,332 shares of Common Stock issuable upon exercise of vested options issued to the Reporting Person under the Plan, and (iii) 2,783 shares of Common Stock owned directly by the Reporting Person. /s/ Gregory Aydelott 2024-01-17