0001140361-22-034312.txt : 20220921
0001140361-22-034312.hdr.sgml : 20220921
20220921190047
ACCESSION NUMBER: 0001140361-22-034312
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220920
FILED AS OF DATE: 20220921
DATE AS OF CHANGE: 20220921
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Sidhu Roger
CENTRAL INDEX KEY: 0001884115
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-11460
FILM NUMBER: 221257611
MAIL ADDRESS:
STREET 1: C/O BROOKLYN IMMUNOTHERAPEUTICS, INC.
STREET 2: 140 58TH STREET, BUILDING A, SUITE 2100
CITY: BROOKLYN
STATE: NY
ZIP: 11220
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Brooklyn ImmunoTherapeutics, Inc.
CENTRAL INDEX KEY: 0000748592
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 311103425
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 140 58TH STREET, BUILDING A
STREET 2: SUITE 2100
CITY: BROOKLYN
STATE: NY
ZIP: 11220
BUSINESS PHONE: (212) 582-1199
MAIL ADDRESS:
STREET 1: 140 58TH STREET, BUILDING A
STREET 2: SUITE 2100
CITY: BROOKLYN
STATE: NY
ZIP: 11220
FORMER COMPANY:
FORMER CONFORMED NAME: NTN BUZZTIME INC
DATE OF NAME CHANGE: 20051230
FORMER COMPANY:
FORMER CONFORMED NAME: NTN COMMUNICATIONS INC
DATE OF NAME CHANGE: 19920703
FORMER COMPANY:
FORMER CONFORMED NAME: ALROY INDUSTRIES INC
DATE OF NAME CHANGE: 19850411
4
1
form4.xml
FORM 4
X0306
4
2022-09-20
0000748592
Brooklyn ImmunoTherapeutics, Inc.
BTX
0001884115
Sidhu Roger
C/O BROOKLYN IMMUNOTHERAPEUTICS, INC.
10355 SCIENCE CENTER DRIVE, STE. 150
SAN DIEGO
CA
92121
true
Chief Medical Officer
Common Stock
2022-09-20
4
M
0
20163
A
20163
D
Restricted Stock Units
2022-09-20
4
M
0
20163
0
D
Common Stock
20163
60487
D
Each restricted stock unit converts into one share of common stock.
On September, 2021, the reporting person was granted 80,650 restricted stock units, vesting in four substantially equal installments beginning on the first anniversary of the grant date.
/s/ Roger Sidhu
2022-09-21