Form 4 Cell Source, Inc. For: May 18 Filed by: FRIEDMAN BENZION ABRAHAM

June 10, 2021 1:51 PM EDT

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FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person *
FRIEDMAN BENZION ABRAHAM

(Last) (First) (Middle)
57 WEST 57TH STREET,
SUITE 400

(Street)
NEW YORK NY 10019

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Cell Source, Inc. [ CLCS ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
05/18/2017
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 12/04/2017   J (1)   5,400 A $ 0.75 4,388,744 I See footnote (2)
Common Stock 08/21/2018   J (1)   6,672 A $ 0.75 4,395,416 I See footnote (2)
Common Stock 12/31/2018   J (1)   5,444 A $ 0.75 4,400,860 I See footnote (2)
Common Stock 06/26/2019   J (1)   5,356 A $ 0.75 4,406,216 I See footnote (2)
Common Stock 12/31/2019   J (1)   25,675 A $ 0.75 4,431,891 I See footnote (2)
Common Stock 06/30/2020   J (1)   19,547 A $ 0.75 4,451,438 I See footnote (2)
Common Stock 12/29/2020   J (1)   19,672 A $ 0.75 4,471,200 I See footnote (2)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Series A Convertible Preferred Stock $ 0.75 07/26/2017   A   12,000   07/26/2017   (3) Common Stock 120,000 $ 15 (4) 43,553 I See footnote (2)
Series A Convertible Preferred Stock $ 0.75 05/07/2019   A   31,553   05/07/2019   (3) Common Stock 315,530 $ 7.5 31,553 I See footnote (2)
Director Stock Option (Right to Buy) $ 0.75 08/19/2020   A   300,000   08/19/2020 08/19/2025 Common Stock 300,000 $ 0 300,000 D  
Director Stock Option (Right to Buy) $ 0.75 08/20/2020   D     300,000 08/19/2020 08/19/2025 Common Stock 300,000 $ 0 0 D  
Director Stock Option (Right to Buy) $ 0.75 08/20/2020   A   300,000   08/19/2020 08/19/2025 Common Stock 300,000 $ 0 300,000 I See footnote (2)
Explanation of Responses:
1. Issued as payment-in-kind dividend on Series A Convertible Preferred Stock.
2. Owned by a company wholly owned by the wife of the reporting person.
3. The Series A Convertible Preferred Stock has no expiration date.
4. The reporting person was issued 12,000 shares of Series A Convertible Preferred Stock and a note in the principal amount of $180,000 for an aggregate purchase price of $180,000
/s/ Benzion Friedman 06/10/2021
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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 Number.


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