Hassan Kotob - 10 Dec 2021 Form 4/A - Amendment Insider Report for BRAIN SCIENTIFIC INC.

Role: Chief Executive Officer, Director, 10%+ Owner
Signature: /s/ Hassan Kotob
Issuer symbol: BRSF on OTC
Transactions as of: 10 Dec 2021
Net transactions value: $0
Form type: 4/A - Amendment
Filing time: 18 Feb 2022, 08:02:07 UTC
Date Of Original Report: 15 Dec 2021
Previous filing: 27 Oct 2021
Next filing: 23 May 2022
SEC: View on sec.gov

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)	Disposed to Issuer		-1,218,248	-100%		0	10 Dec 2021	Common Stock	1,218,248	$0.3900	Direct	F1, F2
transaction	BRSF	Stock Option (right to buy)	Award		+1,218,248			1,218,248	10 Dec 2021	Common Stock	1,218,248	$0.2100	Direct	F1, F3

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	The reporting person agreed to an amendment to an outstanding option granted to him on October 21, 2021, which resulted in the deemed disposition of the old option in exchange for a new option having a lower exercise price.
F2	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.
F3	The shares underlying this option vest in four equal quarterly installments beginning on 3/31/2022 and ending on 12/31/2022.

Remarks:

This amended Form 4 is being filed to add the amendment to the outstanding option as described herein.