SEC Form 4 · accession 0001511164-15-000339
Champion Pain Care Corp · CPAI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Champion Care Corp.
Director
Period of report
Mar 17, 2015
Accepted (ET)
Jun 29, 2015 · 4:18 pm EDT
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 | Mar 17, 2015 | J | 160,000 | $0.2136 | D | 355,000 | I | By Champion Care Corp. |
| Common StockF2 | Jun 19, 2015 | J | 40,000,000 | $0.005 | A | 40,355,000 | I | By Champion Care Corp. |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Champion Care Corp. transferred 160,000 Common Shares of the Issuer to a creditor of Champion Care Corp.
- F2Champion Care Corp. received 40,000,000 Common Shares of the Issuer from the Issuer for services rendered to the Issuer.
Remarks
This Form 4 is filed by Terrance Owen on behalf of Terrance Owen, Jack Fishman and Emil Schiller who are Directors of both the Issuer and of Champion Care Corp. which holds the shares.