0001179110-21-010274.txt : 20211119
0001179110-21-010274.hdr.sgml : 20211119
20211119161445
ACCESSION NUMBER: 0001179110-21-010274
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: BELL DAVID ARTHUR
CENTRAL INDEX KEY: 0001214767
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33169
FILM NUMBER: 211428472
MAIL ADDRESS:
STREET 1: C/O TIME INC.
STREET 2: 225 LIBERTY STREET
CITY: NEW YORK
STATE: NY
ZIP: 10281
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
0001214767
BELL DAVID ARTHUR
C/O DENTSU AEGIS NETWORK
32 AVENUE OF THE AMERICAS, 16 FL.
NEW YORK
NY
10013
1
0
0
0
Common Stock
2021-11-17
4
A
0
10860
0
A
53981
D
Stock Options (right to buy)
2.21
2021-11-17
4
A
0
60000
0
A
2031-11-17
Common Stock
60000
60000
D
Option vests as to 20,000 shares on each of 11/17/2021, 11/17/2022 and 11/17/2023.
Exhibit 24.1 Power of Attorney filed with Form 4 on 7/3/2019 and incorporated herein by reference.
/s/ Will Logan, as Attorney-in-fact for David Bell
2021-11-19