SEC Form 4 · accession 0001511164-15-000099
Champion Pain Care Corp · CPAI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jack Fishman
Officer — President · Director
Period of report
Jun 13, 2014
Accepted (ET)
Feb 18, 2015 · 8:26 am EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001469284
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Jun 19, 2014 | G | 3,750,000 | $0.00 | D | 3,750,000 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Jack Fishman transferred 3,750,000 Common Shares of the Issuer as a gift to his spouse, Sheena Sim, at no cost.
- F2Sheena Sim became a reporting person holding 8.3% of the Common Shares of the Issuer as a result of this transaction.