0001104659-19-072558.txt : 20191213
0001104659-19-072558.hdr.sgml : 20191213
20191213160430
ACCESSION NUMBER: 0001104659-19-072558
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191213
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: 191284630
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
tm1925194d1_form4.xml
FORM 4
X0306
4
2019-12-13
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
2019-12-13
4
J
0
500000000
0.0001
A
677473616
I
Entity
Common Stock
6466667
D
The shares of common stock were issued to Creative Medical Health, Inc. ("CMH") as a $50,000 partial payment of the $100,000 payment owed to CMH under Section 3.2 of the Patent Purchase Agreement, dated May 17, 2017, as amended on November 14, 2017, between the issuer, its wholly-owned subsidiary StemSpine, LLC, and CMH. Mr. Warbington is the 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
2019-12-13