0001731122-21-000531.txt : 20210406
0001731122-21-000531.hdr.sgml : 20210406
20210406204149
ACCESSION NUMBER: 0001731122-21-000531
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201105
FILED AS OF DATE: 20210406
DATE AS OF CHANGE: 20210406
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: 21810435
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
X0306
4
2020-11-05
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
2020-11-05
4
M
0
150000
0
A
500210
D
Common Stock
2020-11-05
4
F
0
20000
0.316
D
480210
D
Common Stock
2021-01-01
4
A
0
90000
0
A
570210
D
Common Stock
2021-02-05
4
M
0
150000
0
A
720210
D
Common Stock
2021-02-05
4
F
0
3074
1.34
D
717136
D
Common Stock
204000000
I
By Kaival Holdings, LLC
Restricted Stock Units
2020-11-05
4
M
0
150000
0
D
Common Stock
150000
2550000
D
Restricted Stock Units
2021-02-05
4
M
0
150000
0
D
Common Stock
150000
2400000
D
The reporting person was previously granted an equity award of 90,000 restricted shares of KAVL's common stock for every $50,000,000 in accumulated gross revenues generated. 90,000 shares vested on January 1, 2021 upon satisfaction of the performance criteria.
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.
/s/ Nirajkumar Patel
2021-04-06