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