0001731122-22-000323.txt : 20220225
0001731122-22-000323.hdr.sgml : 20220225
20220225171500
ACCESSION NUMBER: 0001731122-22-000323
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210505
FILED AS OF DATE: 20220225
DATE AS OF CHANGE: 20220225
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: 001-40641
FILM NUMBER: 22681853
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: RETAIL-NONSTORE RETAILERS [5960]
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
2021-05-05
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
2021-05-05
4
M
0
16667
0
A
96836
D
Common Stock
2021-05-05
4
F
0
4059
14.52
D
92777
D
Common Stock
2021-08-05
4
M
0
16667
0
A
109444
D
Common Stock
2021-08-05
4
F
0
4059
6.26
D
105385
D
Common Stock
2021-11-05
4
M
0
20833
0
A
126218
D
Common Stock
2021-11-05
4
F
0
5073
1.80
D
121145
D
Common Stock
2022-02-05
4
M
0
20833
0
A
141978
D
Common Stock
2022-02-05
4
F
0
6177
0.97
D
135801
D
Common Stock
17000000
I
By Kaival Holdings, LLC
Restricted Stock Units
2021-05-05
4
M
0
16667
0
D
Common Stock
16667
179166
D
Restricted Stock Units
2021-08-05
4
M
0
16667
0
D
Common Stock
16667
162499
D
Restricted Stock Units
2021-11-05
4
M
0
20833
0
D
Common Stock
20833
141666
D
Restricted Stock Units
2022-02-05
4
M
0
20833
0
D
Common Stock
20833
120833
D
The reporting person inadvertently reported receiving 12,500 shares of KAVL common stock on February 5, 2021 from the vesting of an RSU, instead of 16,667 shares of KAVL common stock. The starting balance reflects this correction.
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 250,000 restricted stock units. The restricted stock units vest over a three-year period, with a portion vesting immediately on the grant date, and the reminder partially vesting every three months.
/s/ Eric Mosser, as attorney-in-fact
2022-02-25