Form SC 13G - Statement of acquisition of beneficial ownership by individuals
2024年2月9日 - 7:53AM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND
EXCHANGE COMMISSION
Washington,
D.C. 20549
SCHEDULE
13G
Under
the Securities Exchange Act of 1934
(Amendment
No.)*
Expion360
Inc.
(Name of
Issuer)
Common
Stock, par value $0.001 per share
(Title of
Class of Securities)
30218B100
(CUSIP Number)
January
16, 2024
(Date of
Event which Requires Filing of this Statement)
Check
the appropriate box to designate the rule pursuant to which this Schedule is filed:
☐ Rule 13d-1(b)
☐ Rule 13d-1(c)
☒ Rule
13d-1(d)
* The
remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class
of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page.
The information
required on the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities
Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all
other provisions of the Act (however, see the Notes).
1. |
|
NAMES
OF REPORTING PERSONS
John Henry Yozamp |
|
|
2. |
|
CHECK
THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(see instructions)
(a) ☐
(b) ☐ |
|
|
3. |
|
SEC
USE ONLY
|
|
|
4. |
|
CITIZENSHIP
OR PLACE OF ORGANIZATION
United States |
|
|
|
|
|
|
|
NUMBER
OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
|
5. |
|
SOLE
VOTING POWER
1,727,182 (1)(2) |
|
6. |
|
SHARED
VOTING POWER
0 |
|
7. |
|
SOLE
DISPOSITIVE POWER
1,727,182 (1)(2) |
|
8. |
|
SHARED
DISPOSITIVE POWER
0 |
|
|
|
|
|
9. |
|
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,727,182 (1)(2) |
|
|
10. |
|
CHECK
IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
(see instructions) ☐
|
|
|
11. |
|
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
23.9% (3) |
|
|
12. |
|
TYPE
OF REPORTING PERSON (see instructions)
IN |
|
|
|
|
|
|
|
(1) The number
of shares of common stock, par value $0.001 per share ("Common Stock") of Expion360 Inc. (the "Issuer") shown as beneficially owned
by the Reporting Person consists of: (i) 1,477,182 shares of Common Stock owned directly by the Reporting Person, and (ii) 250,000
shares of Common Stock underlying stock options held by the Reporting Person that are exercisable within 60 days.
(2) A Form 8-A was
filed by the Issuer on March 31, 2022 (the “Registration Date”), which registered the Common
Stock pursuant to the Act. A Schedule 13G reporting the Reporting Person’s beneficial ownership of the Common Stock was required
to be filed in connection with the filing of the Form 8-A, but was not filed timely due to an administrative error. This Schedule 13G
is being filed to report the Reporting Person’s beneficial ownership of the Common Stock as of the “Date of Event”
reflected on the cover page. The Reporting Person’s beneficial ownership of the Common Stock as of the Registration Date was correctly
reported in the Form S-1 relating to the Issuer’s initial public offering of Common Stock.
(3) The percentage
of the Issuer’s Common Stock beneficially owned by the Reporting Person is based on 6,986,409 shares of the Issuer’s Common
Stock outstanding as of January 12, 2024, as reported in the Issuer’s Registration Statement on Form S-1, filed with the U.S. Securities
and Exchange Commission on January 23, 2024.
Item 1.
|
(a) |
Name of
Issuer
Expion360 Inc. (the “Issuer”) |
|
|
|
|
(b) |
Address of Issuer’s Principal Executive Offices
|
|
|
The Issuer’s principal executive offices are
located at 2025 SW Deerhound Avenue, Redmond, Oregon 97756. |
Item 2.
|
(a) |
Name of
Person Filing
This Schedule 13G is filed on behalf
of John Henry Yozamp, an individual (the “Reporting Person”). |
|
|
|
|
(b) |
Address of the Principal Office
or, if none, residence
The Reporting Person’s residential
address is 5069 East River Place, Post Falls, Idaho 83854. |
|
|
|
|
(c) |
Citizenship
The Reporting Person is a citizen
of the United States. |
|
|
|
|
(d) |
Title of Class of Securities
The title of
the class of securities to which this Schedule 13G relates is Common Stock. |
|
|
|
|
(e) |
CUSIP Number
The Issuer’s CUSIP number is
30218B100. |
|
|
|
Item 3. If
this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:
Item 4. Ownership.
Reporting Person | |
Amount beneficially owned | |
Percent of class: | |
Sole power to vote or to direct the vote: | |
Shared power to vote or to direct the vote: | |
Sole power to dispose or to direct the disposition of: | |
Shared power to dispose or to direct the disposition of: |
John Henry Yozamp | |
1,727,182 (1) | |
| 23.9% (2) | |
1,727,182 (1) | |
| 0 | | |
| 1,727,182 (1) | |
| 0 | |
| |
| |
| | |
| |
| | | |
| | |
| | |
(1) The Reporting
Person has sole power to vote and dispose of the shares beneficially owned by the Reporting Person, which consists of: (i) 1,477,182
shares of Common Stock owned directly by the Reporting Person, and (ii) 250,000 shares of Common Stock underlying stock options held
by the Reporting Person that are exercisable within 60 days.
(2) The ownership percentage reported is based on 6,986,409
shares of Common Stock outstanding as of January 12, 2024, as reported in the Issuer’s Registration Statement on Form S-1, filed
with the U.S. Securities and Exchange Commission on January 23, 2024.
Item 5. Ownership
of Five Percent or Less of a Class.
If this statement
is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than
five percent of the class of securities, check the following ☐.
Item 6. Ownership
of More than Five Percent on Behalf of Another Person.
Not applicable.
Item 7. Identification
and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company.
Not applicable.
Item 8. Identification
and Classification of Members of the Group.
Not applicable.
Item 9. Notice
of Dissolution of Group.
Not applicable.
Item 10. Certification.
Not
applicable.
SIGNATURE
After
reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete
and correct.
Date: February 8,
2024
|
|
|
/s/John
Henry Yozamp
John
Henry Yozamp |
Expion360 (NASDAQ:XPON)
過去 株価チャート
から 11 2024 まで 12 2024
Expion360 (NASDAQ:XPON)
過去 株価チャート
から 12 2023 まで 12 2024