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