0001921762-22-000002.txt : 20220506 0001921762-22-000002.hdr.sgml : 20220506 20220505165907 ACCESSION NUMBER: 0001921762-22-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220502 FILED AS OF DATE: 20220505 DATE AS OF CHANGE: 20220505 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Yozamp John Henry CENTRAL INDEX KEY: 0001921762 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41347 FILM NUMBER: 22897422 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 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2022-05-02 0 0001894954 Expion360 Inc. xpon 0001921762 Yozamp John Henry 2025 SW DEERHOUND AVE REDMOND OR 97756 1 1 1 0 Chief Executive Officer Option 2022-05-02 4 A 0 250000 3.69 A 1796287 D 1,546,287 shares of common stock and options to purchase 250,000 shares of common stock John Yozamp 2022-05-05