Initial Statement of Beneficial Ownership (3)
September 01 2022 - 03:15PM
Edgar (US Regulatory)
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FORM 3
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UNITED STATES SECURITIES AND EXCHANGE
COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP
OF SECURITIES
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OMB
APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response... 0.5 |
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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 * Lokey
Susan T |
2. Date of Event Requiring Statement
(MM/DD/YYYY)
8/25/2022
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3. Issuer Name and Ticker or Trading
Symbol AMMO, INC. [POWW] |
|
(Last)
(First)
(Middle)
P.O. BOX 386 |
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)_____
Director _____
10% Owner
_____ Officer (give title
below) ___X___
Other (specify below)
/ See Explanation of Responses |
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(Street)
KENNESAW, GA 30156
(City)
(State)
(Zip)
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5. If Amendment, Date Original
Filed(MM/DD/YYYY)
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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
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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) |
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Common Stock, $0.001 par value (1) |
40000 |
D |
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Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
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1. Title of Derivate Security
(Instr. 4) |
2. Date Exercisable and Expiration Date
(MM/DD/YYYY) |
3. Title and Amount of Securities Underlying
Derivative Security
(Instr. 4) |
4. Conversion or Exercise Price of Derivative
Security |
5. Ownership Form of Derivative Security: 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 |
| Explanation of
Responses: |
| (1) |
Susan T. Lokey (the
"Reporting Person") has been nominated by Steven F. Urvan ("Mr.
Urvan") for election to the Issuer's board of directors. The
Reporting Person may be deemed to be a member of a Section 13(d)
group with Mr. Urvan that collectively beneficially owns more than
10% of the Issuer's outstanding Common Stock. The Reporting Person
disclaims beneficial ownership of the securities of the Issuer
owned directly by the other member of the Section 13(d) group and
this report shall not be deemed an admission that she is the
beneficial owner of such securities for purposes of Section 16 or
for any other purpose. |
Reporting
Owners
|
|
Reporting Owner Name / Address |
Relationships
|
|
Director |
10% Owner |
Officer |
Other |
Lokey Susan T
P.O. BOX 386
KENNESAW, GA 30156 |
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|
|
See Explanation of Responses |
Signatures
|
|
/s/ Susan T. Lokey |
|
9/1/2022 |
| **Signature of Reporting
Person |
Date |
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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). |
| Note: |
File three copies of this Form, one of
which must be manually signed. If space is insufficient, see
Instruction 6 for procedure. |
|
Persons who respond to the collection of information
contained in this form are not required to respond unless the form
displays a currently valid OMB control number. |
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