0001567619-21-019496.txt : 20211108
0001567619-21-019496.hdr.sgml : 20211108
20211108173252
ACCESSION NUMBER: 0001567619-21-019496
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211104
FILED AS OF DATE: 20211108
DATE AS OF CHANGE: 20211108
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kukekov Nickolay V.
CENTRAL INDEX KEY: 0001827573
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37603
FILM NUMBER: 211389085
MAIL ADDRESS:
STREET 1: 4524 WESTWAY AVE
CITY: DALLAS
STATE: TX
ZIP: 75205
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: BioRestorative Therapies, Inc.
CENTRAL INDEX KEY: 0001505497
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090]
IRS NUMBER: 911835664
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 40 MARCUS DRIVE
CITY: MELVILLE
STATE: NY
ZIP: 11747
BUSINESS PHONE: (631) 760-8100
MAIL ADDRESS:
STREET 1: 40 MARCUS DRIVE
CITY: MELVILLE
STATE: NY
ZIP: 11747
FORMER COMPANY:
FORMER CONFORMED NAME: Stem Cell Assurance, Inc.
DATE OF NAME CHANGE: 20101110
4
1
doc1.xml
FORM 4
X0306
4
2021-11-04
0
0001505497
BioRestorative Therapies, Inc.
BRTX
0001827573
Kukekov Nickolay V.
C/O BIORESTORATIVE THERAPIES, INC.
40 MARCUS DRIVE, SUITE ONE
MELVILLE
NY
11747
1
0
0
0
Stock Option
13.50
2021-11-04
4
A
0
25236
0
A
2031-11-04
Common Stock
25236
25236
D
The option vests and becomes exercisable to the extent of 12,618 shares on November 4, 2021 with the remaining 12,618 shares vesting quarterly in eight nearly equal installments beginning November 4, 2022 and continuing every three months thereafter until fully vested.
/s/ Nickolay Kukekov
2021-11-08