0001250853-18-000104.txt : 20180725 0001250853-18-000104.hdr.sgml : 20180725 20180725193904 ACCESSION NUMBER: 0001250853-18-000104 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170731 FILED AS OF DATE: 20180725 DATE AS OF CHANGE: 20180725 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hankey Bret CENTRAL INDEX KEY: 0001747562 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-53078 FILM NUMBER: 18969703 MAIL ADDRESS: STREET 1: 4751 WILSHIRE BLVD. #110 CITY: LOS ANGELES STATE: CA ZIP: 90010 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Bone Biologics Corp CENTRAL INDEX KEY: 0001419554 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 421743430 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2 BURLINGTON WOODS DRIVE, STREET 2: SUITE 100, CITY: BURLINGTON STATE: MA ZIP: 01803 BUSINESS PHONE: (781) 552-4452 MAIL ADDRESS: STREET 1: 2 BURLINGTON WOODS DRIVE, STREET 2: SUITE 100, CITY: BURLINGTON STATE: MA ZIP: 01803 FORMER COMPANY: FORMER CONFORMED NAME: Bone Biologics, Corp. DATE OF NAME CHANGE: 20140924 FORMER COMPANY: FORMER CONFORMED NAME: AFH ACQUISITION X, INC. DATE OF NAME CHANGE: 20071127 3 1 primary_doc.xml PRIMARY DOCUMENT X0206 3 2017-07-31 0 0001419554 Bone Biologics Corp BBLG 0001747562 Hankey Bret 4751 WILSHIRE BLVD. #110 LOS ANGELES CA 90010 1 0 0 0 Common Stock 28034 D Common Stock 5004058 I By Hankey Capital, LLC The share numbers reflect a reverse split of 1:10 effected on July 16, 2018. Consists of shares held by Hankey Capital, LLC ("HC"); of the 5,004,298 shares held by HC, 1,139,240 shares are collateral for the repayment of convertible notes ("Notes") that will only become the property of HC pursuant to its rights as a secured lender, in the Event of a Default under the Notes. HC is owned by Hankey Investment Company LP ("HIC") of which the Bret Hankey Trust ("Bret Trust") owns a 5.83% interest, the Rufus and Bret Hankey Trust ("RB Trust") owns a 0.94% interest and the Hankey Children's Trust ("Children's Trust") owns a 0.99% interest. Mr. Hankey is the settlor and trustee of the Bret Trust and Mr. Hankey's immediate family are beneficiaries of the Bret Trust; Mr. Hankey is one of the settlors of the RB Trust, of which, the Bret Trust is one of the beneficiaries and Mr. Hankey is a successor trustee of the Children's Trust. Mr. Hankey disclaims beneficial ownership in the shares held by HC except to the extent of his or his immediate family's pecuniary interest. /s/ Bret Hankey 2018-07-25