Statement of Changes in Beneficial Ownership (4)
December 10 2019 - 5:31PM
Edgar (US Regulatory)
FORM 4
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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
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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
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Broadrick Dale |
2. Issuer Name and Ticker or Trading Symbol
BioRestorative Therapies, Inc.
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BRTX
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director __X__ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
3003 BRICK CHURCH PIKE |
3. Date of Earliest Transaction
(MM/DD/YYYY)
4/4/2019 |
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(Street)
NASHVILLE, TN 37207
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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| Common Stock | 4/4/2019 | | P | | 2500 | A | $.8 | 2500 | I | See footnote (1) |
| Common Stock | 11/15/2019 | | P | | 10000 | A | $.074 | 7834445 | D | |
| Common Stock | 11/21/2019 | | P | | 80000 | A | $.049 | 7914445 | D | |
| Common Stock | 11/21/2019 | | P | | 58000 | A | $.05 | 7972445 | D | |
| Common Stock | 12/4/2019 | | P | | 92351 | A | $.0295 | 8064796 | D | |
| Common Stock | 12/4/2019 | | P | | 200000 | A | $.03 | 8264796 | D | |
| Common Stock | 12/5/2019 | | P | | 7649 | A | $.029 | 8272445 | D | |
| Common Stock | 12/5/2019 | | P | | 223030 | A | $.025 | 8495475 | D | |
| Common Stock | 12/5/2019 | | P | | 20000 | A | $.028 | 22500 | I | See footnote (1) |
| Common Stock | 12/6/2019 | | P | | 304237 | A | $.025 | 8799712 | D | |
| Common Stock | 12/6/2019 | | P | | 1010085 | A | $.0321 (2) | 1032585 | I | See footnote (1) |
| Common Stock | 12/9/2019 | | P | | 81000 | A | $.036 | 1113585 | I | See footnote (1) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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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 |
| Warrant to acquire Common Stock | $.15 | 12/6/2019 | | J | | | 500000 | 2/19/2019 | 2/19/2024 | Common Stock | 500000 | (3) | 0 | D | |
| Warrant to acquire Common Stock | $.03 | 12/6/2019 | | J | | 500000 | | 2/19/2019 | 2/19/2024 | Common Stock | 500000 | (3) | 500000 | D | |
| Warrant to acquire Common Stock | $.15 | 12/6/2019 | | J | | | 500000 | 2/19/2019 | 2/19/2024 | Common Stock | 500000 | (3) | 0 | D | |
| Warrant to acquire Common Stock | $.03 | 12/6/2019 | | J | | 500000 | | 2/19/2019 | 2/19/2024 | Common Stock | 500000 | (3) | 500000 | D | |
| Warrant to acquire Common Stock | $.15 | 12/6/2019 | | J | | | 555556 | 5/7/2019 | 5/7/2024 | Common Stock | 555556 | (3) | 0 | D | |
| Warrant to acquire Common Stock | $.03 | 12/6/2019 | | J | | 555556 | | 5/7/2019 | 5/7/2024 | Common Stock | 555556 | (3) | 555556 | D | |
| Warrant to acquire Common Stock | $.15 | 12/6/2019 | | J | | | 555555 | 5/7/2019 | 5/7/2024 | Common Stock | 555555 | (3) | 0 | D | |
| Warrant to acquire Common Stock | $.03 | 12/6/2019 | | J | | 555555 | | 5/7/2019 | 5/7/2024 | Common Stock | 555555 | (3) | 555555 | D | |
| Warrant to acquire Common Stock | $.2 | 12/6/2019 | | J | | | 3333333 | 10/16/2019 | 10/16/2024 | Common Stock | 3333333 | (3) | 0 | D | |
| Warrant to acquire Common Stock | $.03 | 12/6/2019 | | J | | 3333333 | | 10/16/2019 | 10/16/2024 | Common Stock | 3333333 | (3) | 3333333 | D | |
| Explanation of Responses: |
| (1) | Owned by Fleetco, Inc. of which reporting person is sole shareholder. |
| (2) | This transaction was executed in multiple trades at prices ranging from $.0279 to $.04 per share. The price reported above reflects the weighted average purchase price. The reporting person hereby undertakes to provide, upon request to the SEC staff, the issuer or a security holder of the issuer, full information regarding the number of shares and prices at which the transactions were effected. |
| (3) | The reported transaction involved an amendment of an outstanding warrant, resulting in the deemed cancellation of the "old" warrant and the grant of a "replacement" warrant at a reduced exercise price. |
Reporting Owners
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| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
Broadrick Dale
3003 BRICK CHURCH PIKE
NASHVILLE, TN 37207 |
| X |
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Signatures
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| /s/ Dale Broadrick | | 12/9/2019 |
| **Signature of Reporting Person | Date |