Colleen Rae Campbell - 01 Jan 2024 Form 3 Insider Report for Greenbrook TMS Inc.

Source evidence Original filing metadata and source links for verification. 3 source fields
SEC form
3
Accepted by SEC
02 Jan 2024, 18:32:35 UTC
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/William Leonard, Attorney-in-Fact

Key filing fact

Colleen Rae Campbell filed Form 3 for Greenbrook TMS Inc. on 02 Jan 2024.

Key facts

  • This page summarizes Colleen Rae Campbell's Form 3 filing for Greenbrook TMS Inc..
  • 0 reported transactions and 3 derivative rows are listed below.
  • Accepted by SEC: 02 Jan 2024, 18:32.

Change

  • No earlier filing in this sequence is available for direct comparison.
  • Current net transaction value: $0.

Research use

  • This tells you what this filing adds before you inspect full transaction and derivative tables.
  • You can trace every row back to the original SEC filing document.

Evidence

Official SEC source

Ownership activity is grounded in SEC Form 3 disclosures.

View source filing

Reported non-derivative transactions

Shares, units, or other non-derivative securities reported in this filing.

GBNH holding

Common Shares

No transaction description listed

Transaction value
Shares
Change %
Price
Shares after
5,000
Date
01 Jan 2024
Ownership
Direct

Reported derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

GBNH holding Derivative

Options

No transaction description listed

Transaction value
Shares
Change %
Price
Shares after
Date
01 Jan 2024
Ownership
Direct
Underlying class
Common Shares
Underlying amount
6,000
Exercise price
$10.00
Footnotes
F1
GBNH holding Derivative

Options

No transaction description listed

Transaction value
Shares
Change %
Price
Shares after
Date
01 Jan 2024
Ownership
Direct
Underlying class
Common Shares
Underlying amount
6,000
Exercise price
$10.13
Footnotes
F2, F3
GBNH holding Derivative

Deferred Share Units

No transaction description listed

Transaction value
Shares
Change %
Price
Shares after
Date
01 Jan 2024
Ownership
Direct
Underlying class
Common Shares
Underlying amount
252,008
Exercise price
$0.000000
Footnotes
F4, F5, F6
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 6 footnotes

Footnote F1

These options were granted pursuant to the Company's Amended Employee Stock Option Plan (the "Stock Option Plan"), as described in the Company's 2022 Meeting Information Circular, filed with the Securities and Exchange Commission on May 23, 2023. The options were granted on October 3, 2018 and fully vested on March 31, 2019 and accordingly, are all exercisable.

Footnote F2

These options were granted pursuant to the Stock Option Plan on February 3, 2020 and vested over a three year period, with one-third vesting on each of the 3 anniversaries of the date of the grant. As of the date hereof, all options are vested and exercisable.

Footnote F3

Converted to USD based on the average daily exchange rate of the Bank of Canada reported on December 29, 2023. Each option may be exercised for a price of $13.40 Canadian dollars.

Footnote F4

These deferred share units ("DSUs") were granted between June 15, 2021 and December 15, 2023 pursuant to the DSU Plan for non-employee directors, as described in the Company's 2022 Meeting Information Circular, filed with the Securities and Exchange Commission on May 23, 2023. The DSUs immediately vest upon grant, but holders thereof are not entitled to receive a payment in respect of the value of their DSUs until their tenure on the board of directors ceases.

Footnote F5

The DSUs do not expire.

Footnote F6

Ms. Campbell will receive a payment in cash at the fair market value of the common shares represented by his or her DSUs generally within ten days of her elected redemption date. Ms. Campbell's elected redemption date will not be earlier than the date she ceases to hold all positions with the Company and will not be later than December 31 of the year following the year in which she ceases to hold all positions with the Company.

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