0001731122-23-000442.txt : 20230321 0001731122-23-000442.hdr.sgml : 20230321 20230321205008 ACCESSION NUMBER: 0001731122-23-000442 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220824 FILED AS OF DATE: 20230321 DATE AS OF CHANGE: 20230321 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: THOENES MARK L CENTRAL INDEX KEY: 0001246350 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40641 FILM NUMBER: 23751093 MAIL ADDRESS: STREET 1: 7700 N.E. AMBASSADOR PL CITY: PORTLAND STATE: OR ZIP: 97220 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Kaival Brands Innovations Group, Inc. CENTRAL INDEX KEY: 0001762239 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-NONSTORE RETAILERS [5960] IRS NUMBER: 833492907 FISCAL YEAR END: 1031 BUSINESS ADDRESS: STREET 1: 4460 OLD DIXIE HIGHWAY CITY: GRANT-VALKARIA STATE: FL ZIP: 32949 BUSINESS PHONE: (833) 452-4825 MAIL ADDRESS: STREET 1: 4460 OLD DIXIE HIGHWAY CITY: GRANT-VALKARIA STATE: FL ZIP: 32949 FORMER COMPANY: FORMER CONFORMED NAME: Quick Start Holdings, Inc. DATE OF NAME CHANGE: 20181218 4 1 ownership.xml X0407 4 2022-08-24 0 0001762239 Kaival Brands Innovations Group, Inc. KAVL 0001246350 THOENES MARK L C/O KAIVAL BRANDS INNOVATIONS GROUP, INC 4460 OLD DIXIE HIGHWAY GRANT-VALKAIRA FL 32949 1 1 0 0 Interim CFO 0 Stock Option 1.32 2022-08-24 4 A 0 50000 A 2032-08-24 Common Stock 50000 150000 D Stock Option 0.61 2023-03-03 4 A 0 50000 A 2033-03-03 Common Stock 50000 200000 D This non-qualified stock option was granted pursuant to an amendment to a consulting agreement (as amended, the "Consulting Agreement") by and between the reporting person and Kaival Brands Innovations Group, Inc. (the "Company"), and vested on the date of the grant. This non-qualified stock option was granted pursuant to an amendment to the Consulting Agreement. This option shall vest upon the earlier of: (a) June 30, 2023; (b) one (1) day after the Company files its Form 10-Q for the third quarter of 2023; (c) if the reporting person is terminated by the Company for any reason (other than a material breach by the reporting person) that remains uncured for five (5) business days after the Company notifies the reporting person of such breach; or (d) if the Company undergoes a change of control, as defined in the Consulting Agreement. /s/ Eric Mosser as attorney-in-fact 2023-03-21