Alexander C. Chong - Oct 21, 2021 Form 4 Insider Report for CQENS Technologies Inc. (XXXX)

Role
Chief Executive Officer, Director, 10%+ Owner
Signature
/s/ Alexander C. Chong
Stock symbol
XXXX
Transactions as of
Oct 21, 2021
Transactions value $
$0
Form type
4
Date filed
11/17/2021, 01:46 PM
Next filing
Aug 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 XXXX Stock Options (Right to Buy) Award +300K 300K Oct 21, 2021 Common Stock 300K $12.00 Direct F1, F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The stock options were granted under the Issuer's 2014 Equity Compensation Plan and are fully vested.
F2 Not applicable.