Statement of Ownership (sc 13g)
March 26 2021 - 5:08PM
Edgar (US Regulatory)
UNITED
STATES
SECURITIES
AND EXCHANGE COMMISSION
Washington,
D.C. 20549
SCHEDULE
13G
Under
the Securities Exchange Act of 1934
(Amendment
No. ____)*
ADOMANI,
INC.
(Name
of Issuer)
Common
Stock, par value $0.00001 per share
(Title
of Class of Securities)
00726A100
(CUSIP
Number)
March
16, 2021
(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 13 d-1(b)
[X]
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 the disclosures provided
in a prior cover page.
The
information required in 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).
CUSIP No.
|
00726A100
|
13G
|
Page 1 of 4
|
1
|
NAMES
OF REPORTING PERSON(S)
Gerald
Douglas Conrod
|
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
British
Columbia, Canada
|
NUMBER
OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON
WITH
|
5
|
SOLE
VOTING POWER
21,763,844
|
6
|
SHARED
VOTING POWER
0(1)
|
7
|
SOLE
DISPOSITIVE POWER
21,763,844
|
8
|
SHARED
DISPOSITIVE POWER
0(1)
|
9
|
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
21,763,844(1)
|
10
|
CHECK
IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
[X]
|
11
|
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
8.5%
|
12
|
TYPE
OF REPORTING PERSON (SEE INSTRUCTIONS)
IN
|
(1)
This amount excludes 22,017,689 shares of common stock held of record by the 162315 Family Trust (the “Trust”) for
which Gerald Douglas Conrod (the “Reporting Person”) serves as co-trustee. In his capacity as co-trustee, the Reporting
Person shares voting and dispositive power of the shares held by the Trust. The Reporting Person disclaims beneficial ownership
of the shares held by the Trust.
CUSIP No.
|
00726A100
|
13G
|
Page 2 of 4
|
Item
1(a). Name of Issuer:
ADOMANI,
Inc.
Item
1(b). Address of Issuer’s Principal Executive Offices:
The
address of the principal executive offices of ADOMANI, Inc. is 1215 Graphite Drive, Corona, California 92881.
Item
2(a). Name of Person Filing
Gerald
Douglas Conrod
Item
2(b). Address of Principal Business Office or, if None, Residence:
The
address of Gerald Douglas Conrod is 1961 Douglas Street, Victoria, BC, V8T 4K7, Canada.
Item
2(c). Citizenship:
British
Columbia, Canada
Item
2(d). Title of Class of Securities:
Common
stock, par value $0.00001 per share
Item
2(e). CUSIP Number:
00726A100
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:
(a)-(k):
Not applicable
Item
4. Ownership.
(a)
Amount beneficially owned:
See
the response to Item 9 on the attached cover page.
(b)
Percent of class:
See
the response to Item 11 on the attached cover page.
(c)
Number of shares as to which the person has:
(i)
Sole power to vote or to direct the vote:
See
the response to Item 5 on the attached cover page.
(ii)
Shared power to vote or to direct the vote:
See
the response to Item 6 on the attached cover page.
(iii)
Sole power to dispose or to direct the disposition of:
See
the response to Item 7 on the attached cover page.
CUSIP No.
|
00726A100
|
13G
|
Page 3 of 4
|
(iv)
Shared power to dispose or to direct the disposition of:
See
the response to Item 8 on the attached cover page.
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
or Control Person.
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. Certifications.
By
signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are
not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were
not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect, other than
activities solely in connection with a nomination under § 240.14a-11.
CUSIP No.
|
00726A100
|
13G
|
Page 4 of 4
|
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.
Dated:
March 26, 2021
|
/s/
Gerald Douglas Conrod
|
|
Gerald
Douglas Conrod
|