SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
STUCKERT JAMES W

(Last) (First) (Middle)
16633 DALLAS PARKWAY
SUITE 250

(Street)
ADDISON TX 75001

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
05/19/2015
3. Issuer Name and Ticker or Trading Symbol
WOUND MANAGEMENT TECHNOLOGIES, INC. [ WNDM ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Series C Preferred Stock 31,087 D
Common Stock 1,500,000 D
Series C Preferred Stock 2,083 I By James W. Stuckert Revocable Trust(1)
Common Stock 1,400,000 I By Diane V. Stuckert Revocable Trust(2)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Warrant (3) 07/13/2017 Common Stock 250,000 $0.15 I By James W. Stuckert Revocable Trust
Warrant (4) 12/13/2017 Common Stock 20,000 $0.15 I By James W. Stuckert Revocable Trust
Convertible Secured Subordinated Promissory Note (5) 06/15/2018 Series C Preferred Stock (5) $0.7 I By James W. Stuckert Revocable Trust
Explanation of Responses:
1. The reporting person is the trustee of the trust.
2. The reporting person's spouse is the trustee of the trust. The reporting person disclaims beneficial ownership of these securities, and the filing of this report is not an admission that the reporting person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.
3. This warrant may be exercised, in whole or in part, at any time on or prior to July 13, 2017.
4. This warrant may be exercised, in whole or in part, at any time on or prior to December 13, 2017.
5. This Note provides that the remaining balance may be converted, at the option of the Lender, into shares of preferred stock at any time prior to either (i) the third anniversary of the date of the Note (such date being June 15, 2018), or (ii) the occurrence of an Event of Default.
James W. Stuckert 06/23/2015
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.