0001493152-21-025816.txt : 20211019 0001493152-21-025816.hdr.sgml : 20211019 20211019201744 ACCESSION NUMBER: 0001493152-21-025816 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211015 FILED AS OF DATE: 20211019 DATE AS OF CHANGE: 20211019 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: 001-40899 FILM NUMBER: 211332475 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: 001-40899 FILM NUMBER: 211332474 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 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 2021-10-15 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 Common Stock 2021-10-15 4 C 0 5928774 2.50 A 16915624 I BY HANKEY CAPITAL, LLC Common Stock 2021-10-15 4 C 0 9361702 0 D 7553922 I BY HANKEY CAPITAL, LLC Common Stock 2021-10-15 4 I 0 476190 5.24 A 8030112 I BY HANKEY CAPITAL, LLC Common Stock 2021-10-15 4 G 0 1004310 0 D 7025802 I BY HANKEY CAPITAL, LLC Warrants to Purchase Common Stock 6.30 2021-10-15 4 I 0 476190 0.01 A 2021-10-13 2026-10-13 Common 476190 476190 I By Hankey Capital, LLC Represents shares issued upon conversion of debt at a conversion rate of $2.50 per share. Represents cancelation of collateral shares issued to secure the debt. Represents shares purchased in the Issuer's public offering of units, with each unit consisting of one share of Common Stock and one Warrant. The allocation of a unit is $5.24 for a common share, and $0.01 for a warrant. Represents shares gifted to third parties. Mr. Hankey is the beneficial owner of 7,678,344 shares of the Company, consisting of 7,025,802 shares owned by Hankey Capital, LLC, 476,190 shares issuable upon exercise of warrants issued to Hankey Capital, LLC, 144,656 shares owned by the Don Hankey Trust (the "Trust") of which Mr. Hankey is the Trustee, and 31,696 shares held by H&H Funding, LLC. Hankey Capital, LLC is owned by Hankey Investment Company LP ("HIC") of which the Trust owns a 66.09% interest. The general partner of HIC is Knight Services, Inc., of which the Trust is the sole owner. /s/ Don Hankey 2021-10-19 Hankey Capital, LLC By: /s/ Don Hankey 2021-10-19