0001104659-19-072554.txt : 20191213 0001104659-19-072554.hdr.sgml : 20191213 20191213160240 ACCESSION NUMBER: 0001104659-19-072554 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191105 FILED AS OF DATE: 20191213 DATE AS OF CHANGE: 20191213 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Warbington Timothy CENTRAL INDEX KEY: 0001674492 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-53500 FILM NUMBER: 191284611 MAIL ADDRESS: STREET 1: 2017 W PEORIA AVE CITY: PHOENIX STATE: AZ ZIP: 85029 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CREATIVE MEDICAL TECHNOLOGY HOLDINGS, INC. CENTRAL INDEX KEY: 0001187953 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 870622284 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2017 W PEORIA AVENUE CITY: PHOENIX STATE: AZ ZIP: 85029 BUSINESS PHONE: (602) 680-7439 MAIL ADDRESS: STREET 1: 2017 W PEORIA AVENUE CITY: PHOENIX STATE: AZ ZIP: 85029 FORMER COMPANY: FORMER CONFORMED NAME: JOLLEY MARKETING INC DATE OF NAME CHANGE: 20020910 4 1 tv531793_form4.xml FORM 4 X0306 4 2019-11-05 0 0001187953 CREATIVE MEDICAL TECHNOLOGY HOLDINGS, INC. CELZ 0001674492 Warbington Timothy 3008 W. LUPINE AVE. PHOENIX AZ 85029 1 1 1 0 President & CEO Common Stock 2019-11-05 4 J 0 100000000 0.0005 A 177473616 I Entity Common Stock 6466667 D The shares of common stock were issued by the issuer to Creative Medical Health, Inc. ("CMH") in exchange for the cancellation of $50,000 of accrued obligations owed to CMH for management services provided to the Issuer. Mr. Warbington is President of CMH and disclaims beneficial ownership of the shares of common stock owned by CMH except to the extent of his pecuniary interest therein. /s/ Timothy Warbington 2019-11-05