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