0001493152-19-009559.txt : 20190621
0001493152-19-009559.hdr.sgml : 20190621
20190621153745
ACCESSION NUMBER: 0001493152-19-009559
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190620
FILED AS OF DATE: 20190621
DATE AS OF CHANGE: 20190621
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hankey Bret
CENTRAL INDEX KEY: 0001747562
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-53078
FILM NUMBER: 19911386
MAIL ADDRESS:
STREET 1: 4751 WILSHIRE BLVD. #110
CITY: LOS ANGELES
STATE: CA
ZIP: 90010
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Bone Biologics Corp
CENTRAL INDEX KEY: 0001419554
STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842]
IRS NUMBER: 421743430
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2 BURLINGTON WOODS DRIVE,
STREET 2: SUITE 100,
CITY: BURLINGTON
STATE: MA
ZIP: 01803
BUSINESS PHONE: (781) 552-4452
MAIL ADDRESS:
STREET 1: 2 BURLINGTON WOODS DRIVE,
STREET 2: SUITE 100,
CITY: BURLINGTON
STATE: MA
ZIP: 01803
FORMER COMPANY:
FORMER CONFORMED NAME: Bone Biologics, Corp.
DATE OF NAME CHANGE: 20140924
FORMER COMPANY:
FORMER CONFORMED NAME: AFH ACQUISITION X, INC.
DATE OF NAME CHANGE: 20071127
4
1
ownership.xml
X0306
4
2019-06-20
0
0001419554
Bone Biologics Corp
BBLG
0001747562
Hankey Bret
4751 WILSHIRE BLVD., SUITE 110
LOS ANGELES,
CA
90010
1
0
0
0
Common Stock
2019-06-20
4
P
0
1063830
0
A
27191563
I
By Hankey Capital, LLC
Consists of shares held by Hankey Capital LLC ("Hankey Capital") as collateral for the repayment of convertible notes (the "Notes") issued to Hankey Capital (the "Collateral Shares"). Hankey Capital may not transfer, sell or otherwise dispose of any of the Collateral Shares, except during the existence of Event of Default under the Notes in connection with the exercise of its rights and remedies as a secured lender.
Hankey Capital is owned by Hankey Investment Company LP ("HIC") of which the Bret Hankey Trust (the "Bret Trust") owns a 5.83% interest, the Rufus and Bret Hankey Trust (the "RB Trust") owns a 0.94% interest and the Hankey Children's Trust (the "Children's Trust") owns a 0.99% interest. Mr. Hankey is the settlor and trustee of the Bret Trust and Mr. Hankey's immediate family are beneficiaries of the Bret Trust; Mr. Hankey is one of the settlors of the RB Trust, of which, the Bret Trust is one of the beneficiaries and Mr. Hankey is a successor trustee of the Children's Trust. Mr. Hankey disclaims beneficial ownership in the shares held by Hankey Capital except to the extent of his or his immediate family's pecuniary interest.
Consists of shares held by Hankey Capital. Mr. Hankey disclaims beneficial ownership in the shares held by Hankey Capital except to the extent of his or his immediate family's pecuniary interest.
/s/ Bret Hankey
2019-06-21