0001663577-17-000305.txt : 20170919 0001663577-17-000305.hdr.sgml : 20170919 20170919180259 ACCESSION NUMBER: 0001663577-17-000305 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170701 FILED AS OF DATE: 20170919 DATE AS OF CHANGE: 20170919 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HOWLETT TERRY CENTRAL INDEX KEY: 0001134872 STATE OF INCORPORATION: NV FISCAL YEAR END: 0430 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25911 FILM NUMBER: 171092893 MAIL ADDRESS: STREET 1: 6320 S. SANDHILL ROAD STREET 2: SUITE #10 CITY: LAS VEGAS STATE: NV ZIP: 89120 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SKINVISIBLE INC CENTRAL INDEX KEY: 0001085277 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 880344219 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6320 S SANDHILL ROAD STREET 2: SUITE 10 CITY: LAS VEGAS STATE: NV ZIP: 89120 BUSINESS PHONE: 7024337154 MAIL ADDRESS: STREET 1: 6320 S SANDHILL ROAD STREET 2: SUITE 10 CITY: LAS VEGAS STATE: NV ZIP: 89120 4 1 form4howlett.xml OWNERSHIP DOCUMENT X0306 4 2017-07-01 0 0001085277 SKINVISIBLE INC SKVI 0001134872 HOWLETT TERRY 6320 S. SANDHILL RD. SUITE #10 LAS VEGAS NV 89120 1 1 1 0 CEO & CFO Debt Conversion Rights 0.02 2017-07-01 4 J 0 2641071 0 A 2017-07-01 2022-07-01 Common Stock 2641071 136292003 D Debt Conversion Rights (Warrant) 0.03 2017-07-01 4 J 0 1320536 0 A 2017-07-01 2022-07-01 Common Stock 1320536 137612539 D Debt Conversion Rights 0.02 2017-07-01 4 J 0 4500000 0 A 2017-07-01 2022-07-01 Common Stock 4500000 142112539 D Debt Conversion Rights (Warrant) 0.03 2017-07-01 4 J 0 2250000 0 A 2017-07-01 2022-07-01 Common Stock 2250000 144362539 D Renewal of Right to stock from unpaid compensation.(Adjustment) and Renewal of Warrant issued in connection with unpaid compensation right (Adjustment) Right to stock from unpaid compensation and warrant issued in connection with unpaid compensation right. /s/ Terry Howlett 2017-09-19