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*
MONTANO DANIEL C

(Last) (First) (Middle)
1700 WEST HORIZON RIDGE PARKWAY
SUITE 100

(Street)
HENDERSON NV 89012

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/11/2005
3. Issuer Name and Ticker or Trading Symbol
CardioVascular BioTherapeutics, Inc. [ 0 ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Chairman, President and CEO
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)
Common Stock 630,000 I By Qure Biopharmaceuticals, Inc.
Common Stock 30,000,000 I By Vizier Investment Capital
Common Stock 8,750,000 I By Cardio Korea Co. Ltd.(1)
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
Explanation of Responses:
1. Mr. Montano currently has voting control over 8,750,000 shares of Common Stock owned by Cardio Korea Co. Ltd. until March 18, 2005. He does not have investment control over these shares. On March 18, 2005 voting control will return to an affiliate of Cardio Korea Co. Ltd., at which point Mr. Montano will no longer have Beneficial Ownership of these shares.
Vincent J. Roth, Attorney-in-Fact for Daniel C. Montano 02/18/2005
** 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.
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