0001731122-21-000534.txt : 20210406 0001731122-21-000534.hdr.sgml : 20210406 20210406204324 ACCESSION NUMBER: 0001731122-21-000534 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210325 FILED AS OF DATE: 20210406 DATE AS OF CHANGE: 20210406 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Brooks Roger CENTRAL INDEX KEY: 0001853766 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-56016 FILM NUMBER: 21810440 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 2021-03-25 0 0001762239 Kaival Brands Innovations Group, Inc. KAVL 0001853766 Brooks Roger 4460 OLD DIXIE HIGHWAY GRANT FL 32949 1 0 0 0 Stock Options 2.165 2021-03-17 4 A 0 300000 0 A 2031-03-16 Common Stock 300000 300000 D 90,000 shares vested on March 17, 2021. The remaining shares will vest in increments of 70,000 shares on March 17, 2022, March 17, 2023, and March 17, 2024. All unvested shares will automatically vest upon a "Change of Control," as that term is defined in the 2020 Stock and Incentive Compensation Plan. /s/ Jared Witt, as attorney-in-fact 2021-04-06