0001179110-21-010272.txt : 20211119
0001179110-21-010272.hdr.sgml : 20211119
20211119161411
ACCESSION NUMBER: 0001179110-21-010272
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211117
FILED AS OF DATE: 20211119
DATE AS OF CHANGE: 20211119
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MCGILL DENNIS
CENTRAL INDEX KEY: 0001062344
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33169
FILM NUMBER: 211428464
MAIL ADDRESS:
STREET 1: 3601 PLAINS BLVD
STREET 2: STE 1
CITY: AMARILLO
STATE: TX
ZIP: 79102
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CREATIVE REALITIES, INC.
CENTRAL INDEX KEY: 0001356093
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373]
IRS NUMBER: 411967918
STATE OF INCORPORATION: MN
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 13100 MAGISTERIAL DRIVE
STREET 2: SUITE 100
CITY: LOUISVILLE
STATE: KY
ZIP: 40223
BUSINESS PHONE: 502-791-8800
MAIL ADDRESS:
STREET 1: 13100 MAGISTERIAL DRIVE
STREET 2: SUITE 100
CITY: LOUISVILLE
STATE: KY
ZIP: 40223
FORMER COMPANY:
FORMER CONFORMED NAME: WIRELESS RONIN TECHNOLOGIES INC
DATE OF NAME CHANGE: 20060313
4
1
edgar.xml
FORM 4 -
X0306
4
2021-11-17
0
0001356093
CREATIVE REALITIES, INC.
CREX
0001062344
MCGILL DENNIS
5206 MONTEREY DRIVE
FRISCO
TX
75034
1
0
0
0
Common Stock, $.01 par value
2021-11-17
4
A
0
10860
0
A
47629
D
Stock Options (right to buy)
2.21
2021-11-17
4
A
0
75000
0
A
2021-11-17
Common Stock
75000
75000
D
Option vests as to 25,000 shares on each of 11/17/2021, 11/17/2022 and 11/17/2023.
Exhibit 24.1 Power of Attorney filed with Form 3 on 11/8/2019 and incorporated herein by reference.
/s/ Will Logan, as attorney-in-fact
2021-11-19