0001185185-17-000621.txt : 20170322 0001185185-17-000621.hdr.sgml : 20170322 20170322165054 ACCESSION NUMBER: 0001185185-17-000621 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170223 FILED AS OF DATE: 20170322 DATE AS OF CHANGE: 20170322 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMERITYRE CORP CENTRAL INDEX KEY: 0000945828 STANDARD INDUSTRIAL CLASSIFICATION: TIRES AND INNER TUBES [3011] IRS NUMBER: 870535207 STATE OF INCORPORATION: NV FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 1501 INDUSTRIAL ROAD CITY: BOULDER CITY STATE: NV ZIP: 89005 BUSINESS PHONE: 7022931930 MAIL ADDRESS: STREET 1: 1501 INDUSTRIAL ROAD CITY: BOULDER CITY STATE: NV ZIP: 89005 FORMER COMPANY: FORMER CONFORMED NAME: AMERICAN TIRE CORP DATE OF NAME CHANGE: 19951117 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Clark David Scott CENTRAL INDEX KEY: 0001660931 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50053 FILM NUMBER: 17707227 MAIL ADDRESS: STREET 1: 9057 WATERFIELD COURT CITY: LAS VEGAS STATE: NV ZIP: 89134 4 1 form4-clark032117.xml OWNERSHIP DOCUMENT X0306 4 2017-02-23 0 0000945828 AMERITYRE CORP AMTY 0001660931 Clark David Scott 1501 INDUSTRIAL RD. BOULDER CITY NV 89005 1 0 0 0 Common stock 2017-02-23 4 A 0 50000 A 50000 D Option 0.10 2016-01-19 4 A 0 100000 0.10 A 2016-12-01 2019-12-03 Common stock 150000 150000 D Acquired as part of Board of Director service ending December 2017. /s/ David Clark 2017-03-22