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

Role
Chief Executive Officer, Director, 10%+ Owner
Signature
/s/ Hassan Kotob
Stock symbol
BRSF
Transactions as of
Dec 10, 2021
Transactions value $
$0
Form type
4/A - Amendment
Date filed
2/18/2022, 08:02 AM
Date Of Original Report
Dec 15, 2021
Previous filing
Oct 27, 2021
Next filing
May 23, 2022

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 -1.22M -100% 0 Dec 10, 2021 Common Stock 1.22M $0.39 Direct F1, F2
transaction BRSF Stock Option (right to buy) Award +1.22M 1.22M Dec 10, 2021 Common Stock 1.22M $0.21 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.