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