0001731122-23-000438.txt : 20230321
0001731122-23-000438.hdr.sgml : 20230321
20230321204608
ACCESSION NUMBER: 0001731122-23-000438
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230319
FILED AS OF DATE: 20230321
DATE AS OF CHANGE: 20230321
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Worner David
CENTRAL INDEX KEY: 0001969940
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40641
FILM NUMBER: 23751085
MAIL ADDRESS:
STREET 1: KAIVAL BRANDS INNOVATIONS GROUP, INC.
STREET 2: 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-VALKARIA
STATE: FL
ZIP: 32949
BUSINESS PHONE: (833) 452-4825
MAIL ADDRESS:
STREET 1: 4460 OLD DIXIE HIGHWAY
CITY: GRANT-VALKARIA
STATE: FL
ZIP: 32949
FORMER COMPANY:
FORMER CONFORMED NAME: Quick Start Holdings, Inc.
DATE OF NAME CHANGE: 20181218
4
1
ownership.xml
X0407
4
2023-03-19
0
0001762239
Kaival Brands Innovations Group, Inc.
KAVL
0001969940
Worner David
C/O KAIVAL BRANDS INNOVATIONS GROUP, INC
4460 OLD DIXIE HIGHWAY
GRANT-VALKAIRA
FL
32949
1
0
0
0
0
Stock Option
0.87
2023-03-19
4
A
0
125000
A
2033-03-19
Common Stock
125000
125000
D
This non-qualified stock option was granted as part of the reporting person's 2023 compensation and vests on the first anniversary of the grant date.
/s/ David Worner
2023-03-21