UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13D
Under the Securities Exchange Act of
1934
(Amendment No. 1)
Creative Medical
Technology Holdings, Inc.
(Name of Issuer)
COMMON STOCK, $0.001 PAR VALUE PER SHARE
(Title of Class of Securities)
22529Y 101
(CUSIP Number)
Timothy Warbington
2017 W Peoria Avenue
Phoenix, AZ 85029
(602) 680-7439
(Name, Address and Telephone Number of Person
Authorized to Receive Notices and Communications)
December 18, 2016
(Date of Event Which Requires Filing of
this Statement)
If the filing person has previously filed a statement on Schedule
13G to report the acquisition which is the subject of this Schedule 13D, and is filing this schedule because of §§ 240.13d-1(e),
240.13d-1(f) or 240.13d-1(g), check the following box
¨
.
NOTE: Schedules filed in paper format shall include a signed
original and five copies of the schedule, including all exhibits. See Rule 240.13d-7 for other parties to whom copies are to be
sent.
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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 disclosures provided in a prior cover page.
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The information required on 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 (the “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).
1
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name of reporting person
Timothy Warbington
i.r.s. identification
no. of above person (entities only)
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2
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check the appropriate
box if a member of a group*
(A)
¨
(B)
¨
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3
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sec use only
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4
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source of funds*
PF
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5
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check if disclosure of legal proceedings is required pursuant to items 2(d) or 2(e)
¨
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6
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citizenship or place
of organization
United States
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number
of
shares
beneficially
owned
by
each
reporting
person
with
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7
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sole voting power
6,466,667 SHARES
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8
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shared voting power
58,648,327 SHARES
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9
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sole dispositive power
6,466,667 SHARES
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10
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shared dispositive power
58,648,327 SHARES
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11
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aggregate amount beneficially
owned by each reporting person
65,114,994 SHARES
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12
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check box if the aggregate amount in row (11) excludes certain shares*
¨
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13
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percent of class represented
by amount in row (11)
63.75%
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14
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type of reporting person*
IN
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1
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name
of reporting person
Creative
Medical Health, Inc.
i.r.s.
identification no. of above person (entities only)
EIN
45-3715583
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2
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check
the appropriate box if a member of a group*
(A)
¨
(B)
¨
|
3
|
sec
use only
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4
|
source
of funds*
WC
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5
|
check if disclosure
of legal proceedings is required pursuant to items 2(d) or 2(e)
¨
|
6
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citizenship
or place of organization
DELAWARE
|
number
of
shares
beneficially
owned
by
each
reporting
person
with
|
7
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sole
voting power
0
SHARES
|
8
|
shared
voting power
58,648,327 SHARES
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9
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sole
dispositive power
0
SHARES
|
|
shared
dispositive power
58,648,327 SHARES
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11
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aggregate
amount beneficially owned by each reporting person
58,648,327 SHARES
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12
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check
box if the aggregate amount in row (11) excludes certain shares*
¨
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13
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percent
of class represented by amount in row (11)
57.14%
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14
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type
of reporting person*
HC
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ITEM 1. SECURITY AND ISSUER.
This amended Schedule 13D Statement relates
to shares of Common Stock, $0.001 par value per share (the “
Common Stock
”), of Creative Medical Technology Holdings,
Inc., a Nevada corporation (the “
Issuer
”). The principal executive offices of the Issuer are located at 2017
W Peoria Avenue, Phoenix, AZ 85029.
Neither the present filing nor anything
contained herein shall be construed as an admission that any Reporting Person constitutes a “person” for any purpose
other than for compliance with Section 13(d) of the Securities Exchange Act of 1934, as amended.
ITEM 2. IDENTITY AND BACKGROUND
This Schedule 13D Statement is hereby filed
jointly by Timothy Warbington, an individual, and Creative Medical Health, Inc., a Delaware corporation (individually, (“
CMH
”)
and, collectively with Mr. Warbington, the “
Reporting Persons
”).
Mr. Warbington is the President and Chief
Executive Officer of CMH. Due to his relationship with CMH, Mr. Warbington may be deemed to have shared voting and investment power
with respect to the shares of Common Stock beneficially owned by CMH. As such, Mr. Warbington may be deemed to have shared beneficial
ownership over such shares of Common Stock.
Mr. Warbington is also a director, President
and Chief Executive Officer of the Issuer and is a citizen of the United States.
The principal business address of each
Reporting Person is 2017 W Peoria Avenue, Phoenix, AZ 85029.
During the last five years, none of the
Reporting Persons (i) has been convicted in a criminal proceeding (excluding traffic violations or similar misdemeanors) or, (ii)
was a party to a civil proceeding of a judicial or administrative body of competent jurisdiction where as a result of such proceeding,
there was or is a judgment, decree or final order enjoining future violations of, or prohibiting or mandating activities subject
to, federal or state securities laws or finding any violation with respect to such laws.
ITEM 3. SOURCE AND AMOUNT OF FUNDS OR
OTHER CONSIDERATION
On May 18, 2016, the Issuer, closed (the
“
Closing
”) the Agreement and Plan of Merger (the “
Merger Agreement
”) with Creative Medical
Technologies, Inc., a Nevada corporation (“
CMT
”), Steven L. White, the principal shareholder and the sole officer
and director of the Issuer (“
Mr. White
”), and Jolley Acquisition Corp., a Nevada corporation and wholly owned
subsidiary of the Issuer (the “
Merger Sub
”). As a result of the Closing of the Merger Agreement, the Merger
Sub was merged with and into CMT with CMT being the surviving corporation and CMT became a wholly-owned subsidiary of the Issuer.
Prior to Closing, Mr. Warbington and CMH
respectively owned 1,000,000 and 10,000,000 shares of CMT, which converted into 6,466,667 and 64,666,667 shares of the Issuer at
Closing.
The consideration used by CMH to acquire
its shares of the Issuer was funds from working capital loaned and an exchange of shares of CMT owned by it. The consideration
used by Mr. Warbington to acquire its shares of the Issuer was an exchange of shares of CMT owned by Mr. Warbington.
Effective December 18, 2016, CMH entered
into a Stock Purchase Agreement with a third party pursuant to which the Issuer sold 3,412,731 shares of the Issuer’s Common
Stock to the third party for $3,412.73.
Effective December 31, 2016, CMH entered
into a Debt Settlement Agreement with a third party pursuant to which CMH sold 2,935,609 shares of the Issuer’s Common Stock
to a third party in exchange for the cancellation of debt issued by CMH to the third party in the aggregate amount of $293,560.91.
As an incentive for the third party to enter into the transaction CMH also granted to the third party an option to purchase up
to 293,561 shares of the Issuer owned by CMH at $0.10 per share with such option expiring August 1, 2019.
ITEM 4. PURPOSE OF TRANSACTION
Except as disclosed below, the Reporting
Persons have acquired beneficial ownership of the securities for investment purposes and will evaluate their investment in the
securities on a continual basis. The Reporting Persons have no plans or proposals that would relate to or would result in: the
acquisition of additional securities of the Issuer or the disposition of presently-owned securities of the Issuer; any extraordinary
corporate transaction involving the Issuer; a sale or transfer of a material amount of assets of the Issuer; any material change
in the present capitalization or dividend policy of the Issuer; any material change in the operating policies or corporate structure
of the Issuer; any change in the Issuer's charter or by-laws; the Shares of the Issuer ceasing to be authorized to be quoted in
the over-the-counter market; or causing the Issuer to become eligible for termination of registration pursuant to Section 12(g)(4)
of the Securities Exchange Act of 1934. The Reporting Persons, however, reserve the right, at a later date, to effect one or more
of such changes or transactions in the number of Shares they may be deemed to beneficially own.
The shares of the Issuer acquired by the
Reporting Persons with the intent to effect a reverse acquisition of the Issuer, whereby the Reporting Persons obtained voting
and management control of the Issuer.
ITEM 5. INTEREST IN SECURITIES OF THE
ISSUER.
Pursuant to Rule 13d-3(a), at the close
of business on November 10, 2016, the Issuer had 102,113,750 shares of Common Stock issued and outstanding as reported in the Issuer’s
Quarterly Report on Form 10-Q, filed with the Commission on November 10, 2016. Of the total shares beneficially owned by the Reporting
Persons, (i) Mr. Warbington beneficially owns 65,114,994 shares of Common Stock (which includes 58,648,327 shares of Common Stock
owned by CMH), which constitutes approximately 63.75% of the outstanding shares of the Issuer; and (ii) CMH beneficially owns 58,648,327
shares of Common Stock (which includes 30,000 shares issuable upon exercise of outstanding warrants), which constitutes approximately
57.14% of the outstanding shares of the Issuer. Mr. Warbington shares beneficial ownership of 58,648,327 shares with an entity
of which he has voting control of the shares. The Reporting Persons have not effected any transactions in the Common Stock during
the past 60 days, except as described in this Schedule 13D.
ITEM 6. CONTRACTS, ARRANGEMENTS, UNDERSTANDINGS
OR RELATIONSHIPS WITH RESPECT TO SECURITIES OF THE ISSUER.
The disclosure in Items 2 and 3 is incorporated
by reference herein.
ITEM 7. MATERIALS TO BE FILED AS EXHIBITS.
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Incorporated by Reference
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Filed Herewith
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Exhibit Description
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Form
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File No.
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Exhibit No.
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Filing Date
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Agreement and Plan of Merger, dated April 29, 2016
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8-K
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000-53500
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2.1
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5/5/16
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Articles of Exchange filed Effective May 18, 2016
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8-K
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000-53500
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3.1
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5/19/16
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Stock Purchase Agreement, dated Effective December 18, 2016
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X
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Debt Settlement Agreement, dated Effective December 31, 2016
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X
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[SIGNATURE PAGE TO FOLLOW]
SIGNATURES
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.
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Dated: January 19, 2017
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/s/ Timothy Warbington
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Timothy Warbington
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Creative Medical Health, Inc.
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Dated: January 19, 2017
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By:
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/s/ Timothy Warbington
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Timothy Warbington, CEO
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EXHIBIT A
JOINT FILING UNDERTAKING
Each of the undersigned, being duly authorized
thereunto, hereby executes this agreement as an exhibit to this Schedule 13D with respect to the Common Shares of Creative Medical
Technology Holdings, Inc. to evidence the agreement of the below-named parties, in accordance with the rules promulgated pursuant
to the Securities Exchange Act of 1934, as amended, to file this Schedule 13D jointly on behalf of each such party.
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/s/ Timothy Warbinton
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Timothy Warbington
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Creative Medical Health, Inc.
/s/ Timothy Warbinton
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Name: Timothy Warbington
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Title: Chief Executive Officer
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