0001520138-23-000097.txt : 20230214 0001520138-23-000097.hdr.sgml : 20230214 20230214174724 ACCESSION NUMBER: 0001520138-23-000097 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230210 FILED AS OF DATE: 20230214 DATE AS OF CHANGE: 20230214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Brown Jeffrey B. CENTRAL INDEX KEY: 0001945871 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-56351 FILM NUMBER: 23632249 MAIL ADDRESS: STREET 1: C/O REVIV3 PROCARE COMPANY STREET 2: 9480 TELSTAR AVE., SUITE 5 CITY: EL MONTE STATE: CA ZIP: 91731 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Reviv3 Procare Co CENTRAL INDEX KEY: 0001718500 STANDARD INDUSTRIAL CLASSIFICATION: PERFUMES, COSMETICS & OTHER TOILET PREPARATIONS [2844] IRS NUMBER: 474125218 STATE OF INCORPORATION: DE FISCAL YEAR END: 0531 BUSINESS ADDRESS: STREET 1: 901 FREMONT AVE. STREET 2: UNIT 158 AND UNIT 168 CITY: ALHAMBRA STATE: CA ZIP: 91803 BUSINESS PHONE: 888-638-8883 MAIL ADDRESS: STREET 1: 901 FREMONT AVE. STREET 2: UNIT 158 AND UNIT 168 CITY: ALHAMBRA STATE: CA ZIP: 91803 4 1 ownership.xml X0306 4 2023-02-10 0 0001718500 Reviv3 Procare Co RVIV 0001945871 Brown Jeffrey B. C/O REVIV3 PROCARE COMPANY 901 S FREMONT AVE #158 ALHAMBRA CA 91803 0 1 0 0 Chief Operating Officer Common Stock 2023-02-10 4 S 0 2500 0.42 D 302845 D Stock Option (right to buy) 0.09 2022-09-01 2032-04-20 Common Stock 2200000 2200000 D Options vest as follows: 25% of the original grant amount vests on September 1, 2022 and the remainder vests in 24 equal monthly installments on the first day of each month, beginning October 1, 2022. /s/ Jeffrey B. Brown 2023-02-14