0001731122-23-001351.txt : 20230803 0001731122-23-001351.hdr.sgml : 20230803 20230803170111 ACCESSION NUMBER: 0001731122-23-001351 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230801 FILED AS OF DATE: 20230803 DATE AS OF CHANGE: 20230803 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mosser Eric CENTRAL INDEX KEY: 0001768676 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40641 FILM NUMBER: 231141045 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-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 X0508 4 2023-08-01 0 0001762239 Kaival Brands Innovations Group, Inc. KAVL 0001768676 Mosser Eric 4460 OLD DIXIE HIGHWAY GRANT FL 32949 1 1 1 0 CEO & President 0 Stock Options 0.59 2023-08-01 4 A 0 567080 0 A 2027-08-01 Common Stock 567080 567080 D On August 1, 2023, the Reporting Person received an option grant from the Issuer. The option shall vest over four years. One-quarter of the option shall vest on the first anniversary of the grant date and afterward shall vest monthly at the rate of 1/36 per month until fully vested. /s/ Eric Mosser 2023-08-03