UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Warrant | 02/17/2016 | 02/17/2019 | Common Stock | 100,000 | $ 0.25 | D | Â |
Warrant | 03/17/2016 | 03/17/2019 | Common Stock | 100,000 | $ 0.25 | D | Â |
Warrant | 04/17/2016 | 04/17/2019 | Common Stock | 100,000 | $ 0.25 | D | Â |
Warrant | 05/17/2016 | 05/17/2019 | Common Stock | 100,000 | $ 0.25 | D | Â |
Warrant | 06/17/2016 | 06/17/2019 | Common Stock | 100,000 | $ 0.25 | D | Â |
Warrant | 07/07/2016 | 07/07/2021 | Common Stock | 200,000 | $ 0.15 | D | Â |
Warrant | 02/17/2017 | 02/17/2019 | Common Stock | 500,000 | $ 0.25 | D | Â |
$100,000 Convertible Promissory Note | 07/24/2017 | 07/24/2018 | Common Stock | (1) | $ (1) | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Kreitzer Stephen M. 2901 W. BUSCH BLVD, SUITE 701 TAMPA, FL 33618 |
 X |  |  | Medical Director, PVMS, Inc |
/s/ Stephen M. Kreitzer | 04/26/2018 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | The Holder shall have the right to convert all or a portion of the Note, along with accrued and unpaid interest, into shares of the common stock of the Parent at a per share price equal to the lesser of (i) 15% below the average daily closing bid price of the Parent's common stock for the immediate predeing twenty (20) business days; or, (ii) $0.11. The Holder shall submit a Conversion Notice indicating his/her election to convert and the amount being converted. The Note has a Maturity Date of 12 months. |
 Remarks: The Reporting Person was appointed to the Board of Directors on April 26, 2018. |