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