SEC Form 4 · accession 0001683168-19-000219
MAGELLAN GOLD Corp · MAGE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John D Gibbs
10% Owner
Period of report
Dec 31, 2018
Accepted (ET)
Jan 30, 2019 · 12:31 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001515317
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF3,F4 | Dec 31, 2018 | A | 216,993 | $0.00 | A | 1,330,443 | D | |
| Common StockF1 | holding | — | — | — | 1,113,450 | D | ||
| Common StockF2 | holding | — | — | — | 10,330 | I | Pres. of TriPower Resources |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Convertible NoteF7,F5,F8,F6 | $1.00 | holding | — | — | — | — | — | Common Stock | 150,000 | 150,000 | D |
Explanation of responses
- F1Reflects shares adjusted to give effect to a 1 for 50 reverse stock split which was effective 1/7/19.
- F2Reflects shares adjusted to give effect to a 1 for 50 reverse stock split effective 1/7/19.
- F3Shares were issued for no additional consideration pursuant to anti-dilution price protection provision attached to an earlier investment in March and June 2018. Shares are valued at $0.5720 per share.
- F4Shares were issued for no additional consideration pursuant to anti-dilution price protection provision attached to an earlier investment in March and June 2018. Shares are valued at $0.5720 per share.
- F5Reflects adjusted conversion price to give effect to a 1 for 50 reverse stock split which was effective 1/7/19.
- F6Reflects shares adjusted to give effect to a 1 for 50 reverse stock split which was effective 1/7/19. This number of shares does not include future accrued interest that may be convertible into shares.
- F7Reflects shares adjusted to give effect to a 1 for 50 reverse stock split which was effective 1/7/19. This number of shares does not include future accrued interest that may be convertible into shares.
- F8Promissory Note, convertible at the option of the holder any time before the note is paid in full.