Sec Form 4 Filing - Mosser Eric @ Kaival Brands Innovations Group, Inc. - 2020-11-05

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Mosser Eric
2. Issuer Name and Ticker or Trading Symbol
Kaival Brands Innovations Group, Inc. [ KAVL]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director X __ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Chief Operating Officer
(Last) (First) (Middle)
4460 OLD DIXIE HIGHWAY
3. Date of Earliest Transaction (MM/DD/YY)
11/05/2020
(Street)
GRANT, FL32949
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 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 11/05/2020 M 150,000 A $ 0 397,428 D
Common Stock 11/05/2020 F 125,000 D $ 0.316 272,428 D
Common Stock 01/01/2021 A( 1 ) 75,000 A $ 0 347,428 D
Common Stock 02/05/2021 M 150,000 A $ 0 497,428 D
Common Stock 02/05/2021 F 19,452 D $ 1.34 477,976 D
Common Stock 204,000,000 I By Kaival Holdings, 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 (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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 of Derivative Security: 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
Restricted Stock Units ( 2 ) 11/05/2020 M 150,000 ( 3 ) ( 3 ) Common Stock 150,000 $ 0 2,550,000 D
Restricted Stock Units ( 2 ) 02/05/2021 M 150,000 ( 3 ) ( 3 ) Common Stock 150,000 $ 0 2,400,000 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Mosser Eric
4460 OLD DIXIE HIGHWAY
GRANT, FL32949
X X Chief Operating Officer
Signatures
/s/ Eric Mosser 04/06/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The reporting person was previously granted an equity award of 75,000 restricted shares of KAVL's common stock for every $50,000,000 in accumulated gross revenues generated. 75,000 shares vested on January 1, 2021 upon satisfaction of the performance criteria.
( 2 )Each restricted stock unit represents a contingent right to receive one share of KAVL's common stock.
( 3 )On May 28, 2020, the reporting person was granted 3,000,000 restricted stock units. The restricted stock units vest over a three-year period, with a portion vesting immediately on the grant date, and the remainder partially vesting every three months.

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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