0001511785-12-000003.txt : 20120106 0001511785-12-000003.hdr.sgml : 20120106 20120106174721 ACCESSION NUMBER: 0001511785-12-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120105 FILED AS OF DATE: 20120106 DATE AS OF CHANGE: 20120106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Paul Tibbits CENTRAL INDEX KEY: 0001511785 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20791 FILM NUMBER: 12515622 MAIL ADDRESS: STREET 1: 2371 BLUEBALL RD. CITY: RINEYVILLE STATE: KY ZIP: 40162 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMARILLO BIOSCIENCES INC CENTRAL INDEX KEY: 0001014763 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 751974352 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: AMARILLO BIOSCIENCES INC STREET 2: 4134 BUSINESS PARK DRIVE CITY: AMARILLO STATE: TX ZIP: 79110-4225 BUSINESS PHONE: (806) 376-1741 MAIL ADDRESS: STREET 1: AMARILLO BIOSCIENCES INC STREET 2: 4134 BUSINESS PARK DRIVE CITY: AMARILLO STATE: TX ZIP: 79110-4225 4 1 primary_doc.xml PRIMARY DOCUMENT X0304 4 2012-01-05 0 0001014763 AMARILLO BIOSCIENCES INC AMAR.OB 0001511785 Paul Tibbits 2371 BLUEBALL RD. RINEYVILLE KY 40162 1 0 1 0 Common Stock 2012-01-05 4 P 0 7800 0.033 A 6796016 D Common Stock 2012-01-06 4 P 0 20000 0.033 A 6816016 D Warrant 0.1 2010-03-12 2013-03-12 Common Stock 150000 150000 D Warrant 0.1 2010-04-15 2013-04-15 Common Stock 100000 100000 D Warrant 0.1 2010-05-07 2013-05-07 Common Stock 150000 150000 D Warrant 0.1 2010-06-04 2013-06-04 Common Stock 350000 350000 D Series A-2010 Convertible Preferred Stock 0.1 Common Stock 1700000 1700000 D Series A-2010 10% Convertible Preferred Stock is immediately convertible and does not expire. Conversion of this stock is 1:1000. Number of shares listed represents common stock after conversion. Paul Tibbits 2012-01-06