SEC Form 4 · accession 0001052918-17-000004
NEW JERSEY MINING CO · NJMC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Monique D Hayes
Officer — Corporate Secretary
Period of report
Dec 30, 2016
Accepted (ET)
Jan 3, 2017 · 6:16 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001030192
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock optionsF1 | $0.15 | Dec 30, 2016 | D | 75,000 | A | Dec 30, 2016 | Dec 31, 2019 | Common stock | 75,000 | 75,000 | D |
| Stock optionsF1 | $0.15 | Dec 30, 2016 | D | 75,000 | A | Dec 29, 2017 | Dec 30, 2019 | Common stock | 75,000 | 150,000 | D |
Explanation of responses
- F1The options granted on 12/30/16 vest as follows: 125,000 on 12/30/16 and 125,000 on 12/29/17.