SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Hankey Don

(Last) (First) (Middle)
4751 WILSHIRE BLVD., SUITE 110

(Street)
LOS ANGELES, CA 90010

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Bone Biologics Corp [ BBLG ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
Chairman of the Board
3. Date of Earliest Transaction (Month/Day/Year)
10/15/2021
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 10/15/2021 C(1) 5,928,774 A $2.5 16,915,624 I BY HANKEY CAPITAL, LLC
Common Stock 10/15/2021 C(2) 9,361,702 D $0 7,553,922 I BY HANKEY CAPITAL, LLC
Common Stock 10/15/2021 I(3) 476,190 A $5.24 8,030,112 I BY HANKEY CAPITAL, LLC
Common Stock 10/15/2021 G(4) 1,004,310 D $0 7,025,802 I BY HANKEY CAPITAL, LLC
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Warrants to Purchase Common Stock $6.3 10/15/2021 I 476,190 10/13/2021 10/13/2026 Common 476,190 $0.01(3) 476,190 I By Hankey Capital, LLC
1. Name and Address of Reporting Person*
Hankey Don

(Last) (First) (Middle)
4751 WILSHIRE BLVD., SUITE 110

(Street)
LOS ANGELES, CA 90010

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
X Director X 10% Owner
X Officer (give title below) Other (specify below)
Chairman of the Board
1. Name and Address of Reporting Person*
HANKEY CAPITAL, LLC

(Last) (First) (Middle)
4751 WILSHIRE BLVD., SUITE 110

(Street)
LOS ANGELES CA 90010

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. Represents shares issued upon conversion of debt at a conversion rate of $2.50 per share.
2. Represents cancelation of collateral shares issued to secure the debt.
3. 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.
4. Represents shares gifted to third parties.
Remarks:
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 10/19/2021
Hankey Capital, LLC By: /s/ Don Hankey 10/19/2021
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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