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