Statement of Changes in Beneficial Ownership (4)
February 15 2017 - 4:41PM
Edgar (US Regulatory)
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 OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
1. Name and Address of Reporting Person
*
Silva Francisco
|
2. Issuer Name
and
Ticker or Trading Symbol
BioRestorative Therapies, Inc.
[
BRTX
]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
_____ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
VP of Research and Development
|
(Last)
(First)
(Middle)
40 MARCUS DRIVE
|
3. Date of Earliest Transaction
(MM/DD/YYYY)
2/14/2017
|
(Street)
MELVILLE, NY 11747
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ 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. Trans. Date
|
2A. Deemed Execution Date, if any
|
3. Trans. 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
|
Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security
(Instr. 3)
|
2. Conversion or Exercise Price of Derivative Security
|
3. Trans. Date
|
3A. Deemed Execution Date, if any
|
4. Trans. 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
|
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 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
|
Stock Option
|
$10
|
2/14/2017
|
|
D
|
|
|
4000
|
(1)
|
4/4/2021
|
Common Stock
|
4000
|
(10)
|
0
|
D
|
|
Stock Option
|
$4.7
|
2/14/2017
|
|
A
|
|
4000
|
|
(1)
|
4/4/2021
|
Common Stock
|
4000
|
(10)
|
4000
|
D
|
|
Stock Option
|
$25
|
2/14/2017
|
|
D
|
|
|
150
|
6/24/2011
|
6/23/2021
|
Common Stock
|
150
|
(10)
|
0
|
D
|
|
Stock Option
|
$4.7
|
2/14/2017
|
|
A
|
|
150
|
|
6/24/2011
|
6/23/2021
|
Common Stock
|
150
|
(10)
|
150
|
D
|
|
Stock Option
|
$20
|
2/14/2017
|
|
D
|
|
|
1000
|
11/16/2011
|
11/15/2021
|
Common Stock
|
1000
|
(10)
|
0
|
D
|
|
Stock Option
|
$4.7
|
2/14/2017
|
|
A
|
|
1000
|
|
11/16/2011
|
11/15/2021
|
Common Stock
|
1000
|
(10)
|
1000
|
D
|
|
Stock Option
|
$21
|
2/14/2017
|
|
D
|
|
|
2000
|
(2)
|
2/9/2022
|
Common Stock
|
2000
|
(10)
|
0
|
D
|
|
Stock Option
|
$4.7
|
2/14/2017
|
|
A
|
|
2000
|
|
(2)
|
2/9/2022
|
Common Stock
|
2000
|
(10)
|
2000
|
D
|
|
Stock Option
|
$28
|
2/14/2017
|
|
D
|
|
|
5500
|
(3)
|
5/2/2022
|
Common Stock
|
5500
|
(10)
|
0
|
D
|
|
Stock Option
|
$4.7
|
2/14/2017
|
|
A
|
|
5500
|
|
(3)
|
5/2/2022
|
Common Stock
|
5500
|
(10)
|
5500
|
D
|
|
Stock Option
|
$30
|
2/14/2017
|
|
D
|
|
|
4000
|
(4)
|
12/7/2022
|
Common Stock
|
4000
|
(10)
|
0
|
D
|
|
Stock Option
|
$4.7
|
2/14/2017
|
|
A
|
|
4000
|
|
(4)
|
12/7/2022
|
Common Stock
|
4000
|
(10)
|
4000
|
D
|
|
Stock Option
|
$12
|
2/14/2017
|
|
D
|
|
|
5000
|
(5)
|
10/4/2023
|
Common Stock
|
5000
|
(10)
|
0
|
D
|
|
Stock Option
|
$4.7
|
2/14/2017
|
|
A
|
|
5000
|
|
(5)
|
10/4/2023
|
Common Stock
|
5000
|
(10)
|
5000
|
D
|
|
Stock Option
|
$13
|
2/14/2017
|
|
D
|
|
|
12500
|
(6)
|
2/18/2024
|
Common Stock
|
12500
|
(10)
|
0
|
D
|
|
Stock Option
|
$4.7
|
2/14/2017
|
|
A
|
|
12500
|
|
(6)
|
2/18/2024
|
Common Stock
|
12500
|
(10)
|
12500
|
D
|
|
Stock Option
|
$10.6
|
2/14/2017
|
|
D
|
|
|
2000
|
3/12/2014
|
3/11/2024
|
Common Stock
|
2000
|
(10)
|
0
|
D
|
|
Stock Option
|
$4.7
|
2/14/2017
|
|
A
|
|
2000
|
|
3/12/2014
|
3/11/2024
|
Common Stock
|
2000
|
(10)
|
2000
|
D
|
|
Stock Option
|
$28
|
2/14/2017
|
|
D
|
|
|
2000
|
4/14/2014
|
5/2/2022
|
Common Stock
|
2000
|
(10)
|
0
|
D
|
|
Stock Option
|
$4.7
|
2/14/2017
|
|
A
|
|
2000
|
|
4/14/2014
|
5/2/2022
|
Common Stock
|
2000
|
(10)
|
2000
|
D
|
|
Stock Option
|
$6.6
|
2/14/2017
|
|
D
|
|
|
37500
|
(7)
|
10/23/2024
|
Common Stock
|
37500
|
(10)
|
0
|
D
|
|
Stock Option
|
$4.7
|
2/14/2017
|
|
A
|
|
37500
|
|
(7)
|
10/23/2024
|
Common Stock
|
37500
|
(10)
|
37500
|
D
|
|
Stock Option
|
$7
|
2/14/2017
|
|
D
|
|
|
25000
|
(8)
|
9/4/2025
|
Common Stock
|
25000
|
(10)
|
0
|
D
|
|
Stock Option
|
$4.7
|
2/14/2017
|
|
A
|
|
25000
|
|
(8)
|
9/4/2025
|
Common Stock
|
25000
|
(10)
|
25000
|
D
|
|
Stock Option
|
$3.73
|
|
|
|
|
|
|
(9)
|
6/10/2026
|
Common Stock
|
60000
|
|
60000
|
D
|
|
Explanation of Responses:
|
(
1)
|
The option is exercisable to the extent of 2,000 shares on each of April 5, 2011 and April 5, 2012.
|
(
2)
|
The option is exercisable to the extent of 1,000 shares on each of February 10, 2012 and February 10, 2013.
|
(
3)
|
The option is exercisable to the extent of 500 shares on each of May 3, 2013, May 3, 2014 and May 3, 2015, became exercisable to the extent of 1,000 shares based on the satisfaction of certain conditions and is exercisable to the extent of 3,000 shares subject to the satisfaction of certain conditions.
|
(
4)
|
The option is exercisable to the extent of 2,000 shares on each of December 7, 2012 and December 7, 2013.
|
(
5)
|
The option is exercisable to the extent of 2,500 shares on each of October 4, 2013 and October 4, 2014.
|
(
6)
|
The option is exercisable to the extent of 4,167 shares on each of February 18, 2014 and February 18, 2015, and 4,166 shares on February 18, 2016.
|
(
7)
|
The option is exercisable to the extent of 12,500 shares on each of October 23, 2015, October 23, 2016 and October 23, 2017.
|
(
8)
|
The option is exercisable to the extent of 8,334 shares on September 4, 2016 and 8,333 shares on each of September 4, 2017 and September 4, 2018.
|
(
9)
|
The option is exercisable to the extent of 20,000 shares on each of June 10, 2017, June 10, 2018 and June 10, 2019.
|
(
10)
|
The reported transactions involved an amendment of an outstanding stock option, resulting in the deemed cancellation of the "old" stock option and the grant of a "replacement" stock option at a reduced exercise price.
|
Reporting Owners
|
Reporting Owner Name / Address
|
Relationships
|
Director
|
10% Owner
|
Officer
|
Other
|
Silva Francisco
40 MARCUS DRIVE
MELVILLE, NY 11747
|
|
|
VP of Research and Development
|
|
Signatures
|
/s/ Francisco Silva
|
|
2/14/2017
|
**
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).
|
Note:
|
File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
|
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
|