Nickolay Kukekov - 01 Oct 2021 Form 4 Insider Report for BRAIN SCIENTIFIC INC.

Role
Director
Signature
/s/ Nickolay Kukekov
Issuer symbol
BRSF on OTC
Transactions as of
01 Oct 2021
Net transactions value
$0
Form type
4
Filing time
30 Mar 2022, 16:57:19 UTC
Next filing
08 Nov 2021
SEC
View on sec.gov

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction BRSF Options to Purchase Shares of Common Stock Award $0 +2,001,873 $0.000000 2,001,873 01 Oct 2021 Common Stock 2,001,873 $0.3500 Direct F1
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The stock options were issued to Mr. Kukekov pursuant to a Non-Qualified Stock Option Agreement. The stock options are fully vested and exercisable and shall expire on 10/01/2031.