0001493152-19-010727.txt : 20190717 0001493152-19-010727.hdr.sgml : 20190717 20190717140541 ACCESSION NUMBER: 0001493152-19-010727 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190715 FILED AS OF DATE: 20190717 DATE AS OF CHANGE: 20190717 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hankey Don CENTRAL INDEX KEY: 0001561288 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-53078 FILM NUMBER: 19958767 MAIL ADDRESS: STREET 1: 4751 WILSHIRE BLVD. STREET 2: SUITE 110 CITY: LOS ANGELES STATE: CA ZIP: 90010 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HANKEY CAPITAL, LLC CENTRAL INDEX KEY: 0001675964 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-53078 FILM NUMBER: 19958768 BUSINESS ADDRESS: STREET 1: 4751 WILSHIRE BLVD., #110 CITY: LOS ANGELES STATE: CA ZIP: 90010 BUSINESS PHONE: 323-692-8888 MAIL ADDRESS: STREET 1: 4751 WILSHIRE BLVD., #110 CITY: LOS ANGELES STATE: CA ZIP: 90010 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Don Hankey Trust CENTRAL INDEX KEY: 0001747743 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-53078 FILM NUMBER: 19958769 BUSINESS ADDRESS: STREET 1: 4751 WILSHIRE BLVD., #110 CITY: LOS ANGELES STATE: CA ZIP: 90010 BUSINESS PHONE: (323) 692-4026 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 2019-07-15 0 0001419554 Bone Biologics Corp BBLG 0001561288 Hankey Don 4751 WILSHIRE BLVD., SUITE 110 LOS ANGELES, CA 90010 1 1 1 0 Chairman of the Board 0001675964 HANKEY CAPITAL, LLC 4751 WILSHIRE BLVD., SUITE 110 LOS ANGELES, CA 90010 0 0 1 0 0001747743 Don Hankey Trust 4751 WILSHIRE BLVD., SUITE 110 LOS ANGELES, CA 90010 0 0 0 1 affiliate of 10% owner/dir Common Stock 2019-07-15 4 P 0 85106 0 A 27912549 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 Don Hankey Trust (the "Trust") owns a 66.09% interest. HIC is owned by Knight Services Inc. of which the Trust is the sole owner. Don Hankey is the sole trustee of the Trust. Mr. Hankey disclaims beneficial ownership in the shares held by Hankey Capital except to the extent of his pecuniary interest. Mr. Hankey is the beneficial owner of 27,912,549 shares of the Company consisting of 3,867,870 shares owned by Hankey Capital, 22,851,064 Collateral Shares for which Hankey Capital has voting rights, 361,640 shares owned by the Don Hankey Trust (the "Trust") of which Mr. Hankey is the Trustee, 274,240 shares held by H&H Funding LLC of which Mr. Hankey is the sole manager and 557,735 shares issuable upon exercise of warrants issued to Hankey Capital. /s/ Don Hankey 2019-07-17 Hankey Capital, LLC By: /s/ Don Hankey, Manager 2019-07-17 Don Hankey Trust By: /s/ Don Hankey 2019-07-17