4//SEC Filing
GOLDEN QUEEN MINING CO LTD 4
Accession 0001008274-16-000007
CIK 0001025362operating
Filed
Nov 22, 7:00 PM ET
Accepted
Nov 23, 10:19 AM ET
Size
14.8 KB
Accession
0001008274-16-000007
Insider Transaction Report
Form 4
CLAY LANDON T
10% Owner
Transactions
- Other
Warrant
2016-11-21+1,226,400→ 1,226,400 total(indirect: By Trust)Exercise: $0.85From: 2016-11-21Exp: 2021-11-21→ Common Shares (1,226,400 underlying) - Other
Warrant
2016-11-21+4,773,600→ 4,773,600 total(indirect: By Trust)Exercise: $0.85From: 2016-11-21Exp: 2021-11-21→ Common Shares (4,773,600 underlying)
Holdings
- 17,047,739(indirect: By Trust)
Common Stock
- 2,351(indirect: By Spouse)
Common Stock
- 4,663
Common Stock
- 807,250(indirect: By Trust)
Common Stock
- 1,344,269(indirect: By Trust)
Common Stock
- 26,114(indirect: By corporation)
Common Stock
Footnotes (8)
- [F1]Represents shares owned by the Landon T. Clay 2016-2 Annuity Trust u/a dated January 14, 2016 (the "2016-2 GRAT"). The reporting person is the donor of the assets in the 2016-2 GRAT and the reporting person's son, Thomas M. Clay, is the sole trustee under the 2016-2 GRAT.
- [F2]Represents shares owned by the Monadnock Charitable Lead Annuity Trust dated May 31, 1996 ("Monadnock"). The reporting person is the donor of the assets to Monadnock. Brian James is the trustee of Monadnock and each of the reporting person's sons has a beneficial interest in Monadnock. The reporting person provides investment advisory services to Monadnock. The reporting person disclaims beneficial ownership of the shares held by Monadnock.
- [F3]Represents shares owned by Arctic Coast Petroleums, Ltd. ("Arctic Coast"). The reporting person owned 50% of Arctic Coast and transferred his interest in Arctic Coast on October 22, 2009 to the Clay Family 2009 Irrevocable Trust dated April 14, 2009 (the "CF 2009 Trust") which owns 50% of Arctic Coast. The reporting person disclaims beneficial ownership of the shares held by Arctic Coast.
- [F4]Represents shares owned by LTC Corporation, which is wholly owned by the reporting person.
- [F5]Represents shares owned by the reporting person's spouse, Lavinia D. Clay. The reporting person disclaims beneficial ownership of the shares held by his spouse.
- [F6]On November 21, 2016, the issuer issued a warrant to purchase 4,773,600 shares of common stock to the Landon T. Clay 2009 Irrevocable Trust dated March 6, 2009 (the "LTC 2009 Trust"). The reporting person is the donor of the LTC 2009 Trust and has the right to substitute property of equivalent value for the shares of common stock held by the LTC 2009 Trust. The warrant is currently exercisable and expires on November 21, 2021.
- [F7]The warrant was issued in connection with the Second Amended and Restated Term Loan Agreement (the "Loan Agreement"), dated November 21, 2016, by and among the issuer, the LTC 2009 Trust, the CF 2009 Trust and EHT, LLC. The Loan Agreement is described in the issuer's Current Report on Form 8-K filed with the Securities and Exchange Commission on November 21, 2016.
- [F8]On November 21, 2016, the issuer issued a warrant to purchase 1,226,400 shares of common stock to the CF 2009 Trust. The reporting person is the donor of the CF 2009 Trust and has the right to substitute property of equivalent value for the shares of common stock held by the CF 2009 Trust. The warrant is currently exercisable and expires on November 21, 2021.
Documents
Issuer
GOLDEN QUEEN MINING CO LTD
CIK 0001025362
Entity typeoperating
IncorporatedBritish Columbia, Canada
Related Parties
1- filerCIK 0001025362
Filing Metadata
- Form type
- 4
- Filed
- Nov 22, 7:00 PM ET
- Accepted
- Nov 23, 10:19 AM ET
- Size
- 14.8 KB