0001493152-22-033084.txt : 20221121 0001493152-22-033084.hdr.sgml : 20221121 20221121144948 ACCESSION NUMBER: 0001493152-22-033084 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221117 FILED AS OF DATE: 20221121 DATE AS OF CHANGE: 20221121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FORMAN ERIC CENTRAL INDEX KEY: 0001650389 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39717 FILM NUMBER: 221405465 MAIL ADDRESS: STREET 1: 117 E. 29TH ST. STREET 2: APT. 5A CITY: NEW YORK STATE: NY ZIP: 10016 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LIXTE BIOTECHNOLOGY HOLDINGS, INC. CENTRAL INDEX KEY: 0001335105 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 202903526 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 248 ROUTE 25A STREET 2: NO. 2 CITY: EAST SETAUKET STATE: NY ZIP: 11733 BUSINESS PHONE: 310 203 2902 MAIL ADDRESS: STREET 1: 248 ROUTE 25A STREET 2: NO. 2 CITY: EAST SETAUKET STATE: NY ZIP: 11733 FORMER COMPANY: FORMER CONFORMED NAME: SRKP 7 INC DATE OF NAME CHANGE: 20050803 4 1 ownership.xml X0306 4 2022-11-17 0 0001335105 LIXTE BIOTECHNOLOGY HOLDINGS, INC. LIXT 0001650389 FORMAN ERIC 680 E. COLORADO BLVD., SUITE 180 PASADENA CA 91101 0 1 0 0 Vice President and COO Common Stock 2022-11-17 4 P 0 4852 0.5398 A 81935 I Eric Forman Revocable Trust Common Stock 2022-11-18 4 P 0 7648 0.567 A 89583 I Eric Forman Revocable Trust Common Stock 2022-11-18 4 P 0 2500 0.5599 A 92083 I Eric Forman Revocable Trust Common Stock 2022-11-18 4 P 0 6059 0.5593 A 98142 I Eric Forman Revocable Trust Common Stock 38598 D /s/ Eric Forman 2022-11-21