SEC Form 5 · accession 0001052918-17-000086
GOLDRICH MINING CO · GRMC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Nicholas Gallagher
Director · 10% Owner
Period of report
Dec 31, 2016
Accepted (ET)
Feb 1, 2017 · 7:45 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000059860
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common stock preferred E | Nov 2, 2016 | P | 90 | $1,000.00 | A | 190 | D | |
| Common stock preferred E | Dec 9, 2016 | P | 90 | $1,000.00 | A | 280 | D | |
| Common stock preferred F | Dec 30, 2016 | P | 50 | $1,000.00 | A | 50 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Class R warrant | $0.045 | Nov 2, 2016 | P | 3,000,000 | A | Nov 2, 2016 | Nov 2, 2021 | Common stock | 3,000,000 | 6,333,333 | D |
| Class R warrant | $0.045 | Dec 9, 2016 | P | 3,000,000 | A | Dec 9, 2016 | Dec 9, 2021 | Common stock | 3,000,000 | 9,333,333 | D |
| Class S warrant | $0.03 | Dec 30, 2016 | P | 1,666,667 | A | Dec 30, 2016 | Dec 30, 2021 | Common stock | 1,666,667 | 1,666,667 | D |