CUSIP No. 18450P200
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13G
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Page 2 of 5 Pages
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1.
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NAMES OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) Tacho M. Sandoval |
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2.
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(see instructions) (a) ☐ (b) ☐ |
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3.
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SEC USE ONLY
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4.
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CITIZENSHIP OR PLACE OF ORGANIZATION
USA |
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NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
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5.
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SOLE VOTING POWER
16,975,612 |
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6.
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SHARED VOTING POWER
00,000 |
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7.
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SOLE DISPOSITIVE POWER
00,000 |
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8.
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SHARED DISPOSITIVE POWER
00,000 |
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9.
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
16,975,612 |
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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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11.
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
12.09% |
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12.
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TYPE OF REPORTING PERSON (see instructions)
IN |
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CUSIP No. 18450P200
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13G
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Page 3 of 5 Pages
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(a)
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Name of Issuer
Clean Coal Technologies, Inc |
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(b)
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Address of Issuer's Principal Executive Offices
295 Madison Ave, 12th Floor, New York, NY 10017 |
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(a)
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Name of Person Filing
Tacho M. Sandoval |
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(b)
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Address of the Principal Office or, if none, residence
PO Box 1253, Wainscott, NY 11975 |
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(c)
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Citizenship
USA |
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(d)
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Title of Class of Securities
Ordinary Shares $0.00001 |
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(e)
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CUSIP Number
18450P200 |
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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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☐
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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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☐
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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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☐
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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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☐
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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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☐
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Group, in accordance with §240.13d-1(b)(1)(ii)(J).
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CUSIP No. 18450P200
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13G
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Page 4 of 5 Pages
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(a)
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Amount beneficially owned: 16,975,612
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(b)
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Percent of class: 12.09%
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(c)
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Number of shares as to which the person has: 00,000
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(i)
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Sole power to vote or to direct the vote 16,975,612.
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(ii)
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Shared power to vote or to direct the vote XXXXXXXXXX.
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(iii)
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Sole power to dispose or to direct the disposition of XXXXXXXXXX.
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(iv)
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Shared power to dispose or to direct the disposition of XXXXXXXXXX.
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(a)
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The following certification shall be included if the statement is filed pursuant to §240.13d-1(b):
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By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired and are held in the ordinary course of business and 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.
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(b)
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The following certification shall be included if the statement is filed pursuant to §240.13d-1(c):
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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.
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CUSIP No. 18450P200
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13G
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Page 5 of 5 Pages
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07/05/17
Date
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/s/ Tacho Sandoval
Signature
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Tacho Sandoval
Name/Title
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