Statement of Ownership (sc 13g)
January 17 2017 - 5:14PM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
Creative Medical Technology Holdings,
Inc.
(Name of Issuer)
COMMON STOCK, $0.001 PAR VALUE PER SHARE
(Title of Class of Securities)
22529Y101
(CUSIP Number)
December 18, 2016
(Date of Event Which Requires Filing of
this Statement)
Check the appropriate box to designate
the rule pursuant to which this Schedule is filed:
*The remainder of this cover page shall
be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for
any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.
The information required in the remainder
of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act
of 1934 (“
Act
”) or otherwise subject to the liabilities of that section of the Act but shall be subject to
all other provisions of the Act (however, see the Notes).
CUSIP No. 22529Y101
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1
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NAME OF REPORTING PERSON
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Henry
E. Baldenegro
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE
INSTRUCTIONS)
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(A)
¨
(B)
¨
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4
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CITIZENSHIP OR PLACE OF ORGANIZATION
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USA
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH:
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5
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SOLE VOTING POWER
9,940,568
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6
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SHARED VOTING POWER
0
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7
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SOLE DISPOSITIVE POWER
9,940,568
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8
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SHARED DISPOSITIVE POWER
0
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING
PERSON
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9,940,568
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10
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CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN
SHARES (SEE INSTRUCTIONS)
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¨
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11
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
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9.70%
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12
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
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IN
Item 1.
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(a)
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Name of Issuer:
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Creative Medical Technology Holdings, Inc. (the “
Issuer
”)
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(b)
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Address of Issuer’s Principal Executive Offices:
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2017 W Peoria Avenue, Phoenix, AZ 85029
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Item 2.
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(a)
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Name of Person Filing:
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This statement is filed by Henry E. Baldenegro with respect to shares of Common Stock of the Issuer that he beneficially owns.
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(b)
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Address of Principal Business Office or, if none, Residence:
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The address of the residential address of Mr. Baldenegro is 2332 East Bishop Drive, Tempe, Arizona 85282.
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(c)
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Citizenship:
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Mr. Baldenegro is a citizen of the U.S.A.
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(d)
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Title of Class of Securities:
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Common Stock, par value $0.001 per share
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(e)
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CUSIP Number:
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22529Y101
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Item 3.
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If This Statement is Filed Pursuant to §§240.13d-1(B)
or 240.13d-2(B) or (C), Check Whether the Person Filing is a:
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(a)
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¨
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Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o);
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(b)
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¨
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Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c);
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(c)
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¨
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Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c);
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(d)
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Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C 80a-8);
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(e)
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An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E);
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(f)
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An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F);
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(g)
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A parent holding company or control person in accordance with § 240.13d-1(b)(1)(ii)(G);
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(h)
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A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);
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(i)
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A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3);
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(j)
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A non-U.S. institution, in accordance with §240.13d-1(b)(1)(ii)(J);
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(k)
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Group, in accordance with §240.13d-1(b)(1)(ii)(K).
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If filing as a non-U.S. institution in accordance with §240.13d-1(b)(1)(ii)(J),
please specify the type of institution: _________________.
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The percentages used herein are
calculated based on 102,113,750 shares of the Issuer’s common stock issued and outstanding as of November 10, 2016, as reported
in the Issuer’s Quarterly Report on Form 10-Q filed with the Securities and Exchange Commission by the Company on November
10, 2016.
As of December 18, 2016, Mr. Baldenegro
owned 3,198,667 shares of the Issuer’s common stock and a warrant immediately exercisable to purchase 100,000 shares. On
that date he acquired an additional 3,412,731 shares. In addition, on December 31, 2016 he acquired an additional 2,935,609 shares
and an option exercisable immediately to acquire 293,561 shares. Thus, he may be deemed to have beneficial ownership of 9,940,568
shares of common stock, as follows:
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(a)
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Amount beneficially owned: 9,940,568
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(b)
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Percent of class: 9.70%
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(c)
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Number of shares as to which the person has:
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(i)
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Sole power to vote or to direct the vote: 9,940,568
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(ii)
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Shared power to vote or to direct the vote: 0
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(iii)
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Sole power to dispose or to direct the disposition of:
9,940,568
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(iv)
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Shared power to dispose or to direct the disposition
of: 0
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Item 5.
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Ownership of Five Percent or Less of a Class
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If this statement is being filed
to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent
of the class of securities, check the following.
¨
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Item 6.
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Ownership of More than Five Percent on Behalf of Another
Person
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Not Applicable
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Item 7.
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Identification and Classification of the Subsidiary Which
Acquired the Security Being Reported on by the Parent Holding Company
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Not Applicable
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Item 8.
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Identification and Classification of Members of the Group
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Not Applicable
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Item 9.
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Notice of Dissolution of Group
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Not Applicable
By signing below I certify that,
to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of
or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held
in connection with or as a participant in any transaction having that purpose or effect.
SIGNATURE
After reasonable inquiry and to the best
of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
Date: January 10,
2017
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By:
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/s/ Henry E. Baldenegro
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Name:
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Henry E. Baldenegro
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