0001493152-21-009690.txt : 20210426 0001493152-21-009690.hdr.sgml : 20210426 20210426163845 ACCESSION NUMBER: 0001493152-21-009690 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210422 FILED AS OF DATE: 20210426 DATE AS OF CHANGE: 20210426 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Forman Stephen J. CENTRAL INDEX KEY: 0001676461 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39717 FILM NUMBER: 21854394 MAIL ADDRESS: STREET 1: 248 ROUTE 25A, NO. 2 CITY: EAST SETAUKET STATE: NY ZIP: 11733 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 2021-04-22 0 0001335105 LIXTE BIOTECHNOLOGY HOLDINGS, INC. LIXT 0001676461 Forman Stephen J. 248 ROUTE 25A, NO. 2 EAST SETAUKET, NY 11733 1 0 0 0 Common Stock 2021-04-22 4 M 0 33334 0.96 A 58137 D Common Stock 16667 I By Stephen Forman Living Trust The Reported Person exercised options to acquire an aggregate of 33,334 shares. /s/ Stephen Forman 2021-04-26