SEC Form 4 · accession 0001052918-17-000056
NEW JERSEY MINING CO · NJMC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Grant A Brackebusch
Officer — Vice President · Director
Period of report
Jan 20, 2017
Accepted (ET)
Jan 23, 2017 · 4:31 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001030192
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jan 20, 2017 | A | 100,000 | $0.10 | A | 1,156,093 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrant | $0.20 | Jan 20, 2017 | D | 50,000 | A | Jan 20, 2017 | Jan 31, 2020 | Common Stock | 50,000 | 2,050,000 | D |
Explanation of responses
- F1Common Stock and Warrants purchased on 1/20/2017 were sold together as Units in the Issuer's private placement at a sale price of $0.20 per Unit. Each Unit consisted of two (2) shares of Common Stock and one (1) Warrant to purchase one (1) Share of Common Stock at $0.20 per share for a period of 36 weeks. The average price per share was $0.10.