SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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*
Hankey Bret

(Last) (First) (Middle)
4751 WILSHIRE BLVD. #110

(Street)
LOS ANGELES CA 90010

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
07/31/2017
3. Issuer Name and Ticker or Trading Symbol
Bone Biologics Corp [ BBLG ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
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
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)
Common Stock 28,034(1) D
Common Stock 5,004,058(1) I(2) By Hankey Capital, LLC
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: 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. The share numbers reflect a reverse split of 1:10 effected on July 16, 2018.
2. 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 07/25/2018
** Signature of Reporting Person Date
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).
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