SEC Form 4 · accession 0001140361-15-007646
Lake Victoria Mining Company, Inc. · LVCA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David Kalenuik
Officer — President and CEO · Director · 10% Owner
Period of report
Feb 13, 2015
Accepted (ET)
Feb 17, 2015 · 8:20 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001402062
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Shares of Common Stock | holding | — | — | — | 720,000 | D | ||
| Shares of Common StockF1 | holding | — | — | — | 16,201,000 | I | (1) |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Options | $0.06 | Feb 13, 2015 | A | 580,000 | A | Feb 13, 2015 | Feb 13, 2018 | Common | 580,000 | 4,080,000 | D |
| Stock Options | $0.09 | holding | — | — | — | Apr 30, 2012 | Apr 30, 2015 | Common | 500,000 | 500,000 | D |
| Stock OptionsF2 | $0.09 | holding | — | — | — | Apr 30, 2012 | Apr 30, 2015 | Common | 3,000,000 | 3,500,000 | I |
Explanation of responses
- F1Total consists of 16,186,000 shares held by Heidi Kalenuik, the spouse of Mr. Kalenuik, and 15,000 shares held by their children.
- F2Consist of 3,000,000 stock options held by spouse, Heidi Kalenuik.