0001731122-22-001131.txt : 20220627 0001731122-22-001131.hdr.sgml : 20220627 20220627170721 ACCESSION NUMBER: 0001731122-22-001131 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220624 FILED AS OF DATE: 20220627 DATE AS OF CHANGE: 20220627 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: 221045479 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 2022-06-24 0 0001762239 Kaival Brands Innovations Group, Inc. KAVL 0001768756 Patel Nirajkumar 4460 OLD DIXIE HIGHWAY, GRANT FL 32949 1 1 1 0 CSRO Stock Options 1.72 2022-06-24 4 A 0 250000 0 A 2032-06-24 Common Stock 250000 250000 D One-half of the shares will vest on the one-year anniversary of the grant date, with the remaining shares vesting on the second-year anniversary of the grant date. /s/ Eric Mosser, as attorney-in-fact 2022-06-27