0001493152-22-035281.txt : 20221213 0001493152-22-035281.hdr.sgml : 20221213 20221213114641 ACCESSION NUMBER: 0001493152-22-035281 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221209 FILED AS OF DATE: 20221213 DATE AS OF CHANGE: 20221213 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FORMAN ERIC CENTRAL INDEX KEY: 0001650389 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39717 FILM NUMBER: 221458970 MAIL ADDRESS: STREET 1: 117 E. 29TH ST. STREET 2: APT. 5A CITY: NEW YORK STATE: NY ZIP: 10016 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 2022-12-09 0 0001335105 LIXTE BIOTECHNOLOGY HOLDINGS, INC. LIXT 0001650389 FORMAN ERIC 680 E. COLORADO BLVD., SUITE 180 PASADENA CA 91101 0 1 0 0 Vice President and COO Common Stock 2022-12-09 4 P 0 10000 0.60 A 112083 I ERIC FORMAN REVOCABLE TRUST Common Stock 2022-12-09 4 P 0 5000 0.6271 A 117083 I ERIC FORMAN REVOCABLE TRUST Common Stock 2022-12-09 4 P 0 1112 0.63 A 118195 I ERIC FORMAN REVOCABLE TRUST Common Stock 38598 D /s/ Eric Forman 2022-12-13