X0204 3 2011-12-13 0 0001515740 PREMIER BIOMEDICAL INC XXXX 0001472835 Hartman William A. 1362 SPRINGFIELD CHURCH ROAD JACKSON CENTER PA 16133 1 1 1 0 President and CEO Common Stock 3000000 D Common Stock Warrants 0 2010-06-21 2020-06-15 Common Stock 17000000 D Series A Convertible Preferred Stock Warrants 0.0001 2010-06-21 2020-06-15 Series A Convertible Preferred Stock 1000000 D The common stock warrants have an exercise price of $0.00001 per share. Each share of Series A Convertible Preferred Stock is convertible into one (1) share of the Company's common stock. /s/ William A. Hartman 2011-12-21