0001104659-19-072563.txt : 20191213
0001104659-19-072563.hdr.sgml : 20191213
20191213160530
ACCESSION NUMBER: 0001104659-19-072563
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: CREATIVE MEDICAL HEALTH INC.
CENTRAL INDEX KEY: 0001538398
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1211
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-53500
FILM NUMBER: 191284644
BUSINESS ADDRESS:
STREET 1: 2007 W. PEORIA AVE.
CITY: PHOENIX
STATE: AZ
ZIP: 85029
BUSINESS PHONE: 602-680-7439
MAIL ADDRESS:
STREET 1: 2007 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
tm1925194d2_form4.xml
FORM 4
X0306
4
2019-12-13
0
0001187953
CREATIVE MEDICAL TECHNOLOGY HOLDINGS, INC.
CELZ
0001538398
CREATIVE MEDICAL HEALTH INC.
3008 W. LUPINE AVE.
PHOENIX
AZ
85029
0
0
1
0
Common Stock
2019-12-13
4
J
0
500000000
0.0001
A
677473616
D
The shares of common stock were issued to the Reporting Person as a $50,000 partial payment of the $100,000 payment owed to the Reporting Person 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 the Reporting Person.
/s/ Timothy Warbington
2019-12-13