0001731122-20-001273.txt : 20201211 0001731122-20-001273.hdr.sgml : 20201211 20201211111859 ACCESSION NUMBER: 0001731122-20-001273 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200528 FILED AS OF DATE: 20201211 DATE AS OF CHANGE: 20201211 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: 201382755 MAIL ADDRESS: STREET 1: 4460 OLD DIXIE HIGHWAY, CITY: GRANT STATE: FL ZIP: 32949 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 FORM 4 X0306 4 2020-05-28 0 0001762239 Kaival Brands Innovations Group, Inc. KAVL 0001768756 Patel Nirajkumar 4460 OLD DIXIE HIGHWAY GRANT FL 32949 1 1 1 0 Chief Executive Officer Common Stock 2020-05-28 4 M 0 150000 0 A 150000 D Common Stock 2020-08-05 4 M 0 150000 0 A 300000 D Common Stock 2020-08-05 4 F 0 55500 0.8776 D 244500 D Common Stock 2020-12-08 4 P 0 8710 0.40 A 253210 D Common Stock 2020-12-08 4 P 0 20000 0.45 A 273210 D Common Stock 2020-12-08 4 P 0 19000 0.48 A 292210 D Common Stock 2020-12-08 4 P 0 1000 0.46 A 293210 D Common Stock 2020-12-08 4 P 0 9000 0.50 A 302210 D Common Stock 2020-12-08 4 P 0 6000 0.48 A 308210 D Common Stock 2020-12-08 4 P 0 9000 0.47 A 317210 D Common Stock 2020-12-08 4 P 0 1000 0.46 A 318210 D Common Stock 2020-12-08 4 P 0 30000 0.4899 A 348210 D Common Stock 2020-12-09 4 P 0 2000 0.44 A 350210 D Common Stock 204000000 I By Kaival Holdings, LLC Restricted Stock Units 2020-05-28 4 A 0 3000000 0 A Common Stock 3000000 3000000 D Restricted Stock Units 2020-05-28 4 M 0 150000 0 D Common Stock 150000 2850000 D Restricted Stock Units 2020-05-28 4 A 0 6000000 0 A Common Stock 6000000 6000000 D Restricted Stock Units 2020-08-05 4 M 0 150000 0 D Common Stock 150000 2700000 D Each restricted stock unit represents a contingent right to receive one share of KAVL's common stock. On May 28, 2020, the reporting person was granted 3,000,000 restricted stock units. The restricted stock units vest over a three-year period, with a portion vesting immediately on the grant date, and the remainder partially vesting every three months. The restricted stock units vest only in an event of a change of control or KAVL achieves in excess of $1 billion in accumulated total gross revenues during the period beginning on March 9, 2020 and ending on October 31, 2023. /s/ Nirajkumar Patel 2020-12-10