0000950170-24-066670.txt : 20240530 0000950170-24-066670.hdr.sgml : 20240530 20240530163010 ACCESSION NUMBER: 0000950170-24-066670 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240401 FILED AS OF DATE: 20240530 DATE AS OF CHANGE: 20240530 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Willett Peter Casimir CENTRAL INDEX KEY: 0002004638 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40199 FILM NUMBER: 241005890 MAIL ADDRESS: STREET 1: C/O GREENBROOK TMS INC. STREET 2: 890 YONGE STREET 7TH FLOOR CITY: TORONTO STATE: A6 ZIP: M4W3P4 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Greenbrook TMS Inc. CENTRAL INDEX KEY: 0001735948 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] ORGANIZATION NAME: 08 Industrial Applications and Services IRS NUMBER: 000000000 STATE OF INCORPORATION: A6 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 890 YONGE STREET, 7TH FLOOR CITY: TORONTO STATE: A6 ZIP: M4W 3P4 BUSINESS PHONE: 416-322-9700 MAIL ADDRESS: STREET 1: 890 YONGE STREET, 7TH FLOOR CITY: TORONTO STATE: A6 ZIP: M4W 3P4 4 1 ownership.xml 4 X0508 4 2024-04-01 0001735948 Greenbrook TMS Inc. GBNH 0002004638 Willett Peter Casimir C/O GREENBROOK TMS. 890 YONGE STREET 7TH FLOOR TORONTO A6 M4W3P4 ONTARIO, CANADA false true false false Chief Financial Officer false Options 0.101 2024-04-01 4 A false 300000 A 2034-04-01 Common Shares 300000 300000 D The options were granted on April 1, 2024 and will vest over a three year period, with one-third vesting on each of the first 3 anniversaries of the date of the grant. As of the date hereof, all 300,000 options are unvested. The options were granted pursuant to the Company's Amended Employee Stock Option Plan (the "Stock Option Plan") as described in the Company's 2024 Proxy Statement filed with the Securities and Exchange Commission on May 10, 2024. /s/William Leonard, Attorney-in-Fact 2024-05-28