0001599916-20-000106.txt : 20200825 0001599916-20-000106.hdr.sgml : 20200825 20200825154001 ACCESSION NUMBER: 0001599916-20-000106 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200821 FILED AS OF DATE: 20200825 DATE AS OF CHANGE: 20200825 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Patel Nirajkumar CENTRAL INDEX KEY: 0001768756 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-56016 FILM NUMBER: 201132198 MAIL ADDRESS: STREET 1: 401 N. WICKHAM ROAD, SUITE 130 CITY: MELBOURNE STATE: FL ZIP: 32935 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Kaival Brands Innovations Group, Inc. CENTRAL INDEX KEY: 0001762239 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 833492907 FISCAL YEAR END: 1031 BUSINESS ADDRESS: STREET 1: 4460 OLD DIXIE HIGHWAY CITY: GRANT STATE: FL ZIP: 32949 BUSINESS PHONE: (833) 452-4825 MAIL ADDRESS: STREET 1: 4460 OLD DIXIE HIGHWAY CITY: GRANT STATE: FL ZIP: 32949 FORMER COMPANY: FORMER CONFORMED NAME: Quick Start Holdings, Inc. DATE OF NAME CHANGE: 20181218 4 1 ownership.xml X0306 4 2020-08-21 0 0001762239 Kaival Brands Innovations Group, Inc. KAVL 0001768756 Patel Nirajkumar 401 N. WICKHAM ROAD, SUITE 130 MELBOURNE FL 32935 1 1 1 0 Chief Executive Officer Common Stock 2020-08-21 4 J 0 300000000 0 D 204000000 I By Kaival Holdings, LLC Series A Preferred Stock 0 2020-08-21 4 J 0 3000000 0 A 2023-11-01 Common Stock 300000000 3000000 I By Kaival Holdings, LLC The Issuer and the Reporting Person entered into an agreement whereby the Reporting Person returned 300,000,000 shares of common stock for cancellation and retirement and, in exchange, the Issuer issued to the Reporting Person 3,000,000 shares of Series A Preferred Stock. No consideration was paid in connection with the exchange. Each share of the Series A Preferred Stock is convertible into one hundred shares of common stock. Generally, the Series A Preferred Stock is not convertible until November 1, 2023, unless a triggering event occurs. The Series A Preferred Stock has no expiration date. /s/ Nirajkumar Patel 2020-08-25