Amesite (AMST) Form 3 Amesite / Barbie Brewer ownership change

SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person^*

Brewer Barbie

(Last) (First) (Middle)

C/O AMESITE INC.

607 SHELBY STREET, SUITE 700 PMB 214

(Street)

DETROIT MI 48226

(City) (State) (Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
09/25/2020

3. Issuer Name and Ticker or Trading Symbol
Amesite Inc. [ AMST ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	10% Owner
	Officer (give title below)	Other (specify below)

5. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock	25,000	D

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Stock Option (Right to Buy)	(1)	07/29/2029	Common Stock	75,000	2	D
Stock Option (Right to Buy)	(2)	03/31/2030	Common Stock	75,000	2	D
Stock Option (Right to Buy)	(3)	05/22/2030	Common Stock	150,000	2	D

Explanation of Responses:

1. The stock options were granted on July 29, 2019, and vest annually in equal amounts over a period of three (3) years, with 33.33% of the shares vesting on the one-year anniversary of the date of grant, 33.33% of the shares vesting on the two-year anniversary of the date of grant, and the remaining 33.33% of the shares vesting on the three-year anniversary of the date of grant.

2. The stock options were granted on March 31, 2020, and vest annually in equal amounts over a period of two (2) years, with 50% of the shares vesting on the one-year anniversary of the date of grant and the remaining 50% shares vesting on the two-year anniversary of the date of grant.

3. The stock options were granted on May 22, 2020, and vest annually in equal amounts over a period of two (2) years, with 50% of the shares vesting on the one-year anniversary of the date of grant and the remaining 50% shares vesting on the two-year anniversary of the date of grant.

	/s/ Barbie Brewer	09/25/2020
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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