Hassan Kotob - Oct 1, 2021 Form 4 Insider Report for BRAIN SCIENTIFIC INC. (BRSF)

Role
Chief Executive Officer, Director, 10%+ Owner
Signature
/s/ Hassan Kotob
Stock symbol
BRSF
Transactions as of
Oct 1, 2021
Transactions value $
$0
Form type
4
Date filed
10/27/2021, 04:03 PM
Next filing
Feb 18, 2022

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction BRSF Common Stock Award +7.41M 7.41M Oct 1, 2021 By Hassan Kotob Revocable Trust F1

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction BRSF Stock Option (right to buy) Award +2.5M 2.5M Oct 1, 2021 Common Stock 2.5M $0.35 Direct F2
transaction BRSF Stock Option (right to buy) Award $0 +1.22M $0.00 1.22M Oct 21, 2021 Common Stock 1.22M $0.39 Direct F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
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.