kotob Hassan 4

4 · BRAIN SCIENTIFIC INC. · Filed Oct 27, 2021

Form 4

Period: 2021-10-01

DirectorChief Executive Officer10% Owner

Transactions

Award
Common Stock
2021-10-01+7,407,934→ 7,407,934 total(indirect: By Trust)
Award
Stock Option (right to buy)
2021-10-21+1,218,248→ 1,218,248 total
Exercise: $0.39Exp: 2031-10-21→ Common Stock (1,218,248 underlying)
Award
Stock Option (right to buy)
2021-10-01+2,502,341→ 2,502,341 total
Exercise: $0.35From: 2021-10-01Exp: 2031-10-01→ Common Stock (2,502,341 underlying)

Footnotes (3)

[F1]In connection with the closing of the transactions contemplated by the Agreement and Plan of Merger and Reorganization, dated as of June 11, 2021, by and among the Issuer, Piezo Motion Corp., a Delaware corporation ("Piezo"), and BRSF Acquisition Inc., a Delaware corporation and a wholly-owned subsidiary of the Issuer ("Merger Sub"), pursuant to which Merger Sub merged with and into Piezo (the "Merger"), with Piezo surviving as a wholly-owned subsidiary of the Issuer, these shares of common stock were received in exchange for 2,524,044 shares of common stock of Piezo.
[F2]Received in connection with the Merger as part of the Merger consideration.
[F3]The shares underlying this option vest as to 25% on 4/21/2022, with the remainder vesting in 18 equal monthly installments thereafter, beginning on 5/21/2022 and ending on 10/21/2023.

Documents

1 file