0001493152-22-035281.txt : 20221213
0001493152-22-035281.hdr.sgml : 20221213
20221213114641
ACCESSION NUMBER: 0001493152-22-035281
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221209
FILED AS OF DATE: 20221213
DATE AS OF CHANGE: 20221213
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: 221458970
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
2022-12-09
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
2022-12-09
4
P
0
10000
0.60
A
112083
I
ERIC FORMAN REVOCABLE TRUST
Common Stock
2022-12-09
4
P
0
5000
0.6271
A
117083
I
ERIC FORMAN REVOCABLE TRUST
Common Stock
2022-12-09
4
P
0
1112
0.63
A
118195
I
ERIC FORMAN REVOCABLE TRUST
Common Stock
38598
D
/s/ Eric Forman
2022-12-13