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