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