4//SEC Filing
GOLDEN QUEEN MINING CO LTD 4
Accession 0001008274-17-000001
CIK 0001025362operating
Filed
Jan 25, 7:00 PM ET
Accepted
Jan 26, 9:42 AM ET
Size
11.4 KB
Accession
0001008274-17-000001
Insider Transaction Report
Form 4
CLAY LANDON T
10% Owner
Transactions
- Other
Common Stock
2017-01-24$0.79/sh−6,884,444$5,449,037→ 10,163,295 total(indirect: By Trust)
Holdings
- 26,114(indirect: By corporation)
Common Stock
- 2,351(indirect: By Spouse)
Common Stock
- 1,344,269(indirect: By Trust)
Common Stock
- 807,250(indirect: By Trust)
Common Stock
Footnotes (7)
- [F1]On January 24, 2017, the sole trustee of the Landon T. Clay 2016-2 Annuity Trust u/a dated January 14, 2016 (the "2016-2 GRAT") authorized the transfer of 6,884,444 shares of common stock of Golden Queen Mining Co. Ltd. (the "Issuer") from the 2016-2 GRAT to the reporting person in satisfaction of the annuity payment required by the terms of the 2016-2 GRAT.
- [F2]The price in Column 4 has been determined in accordance with the terms of the 2016-2 GRAT and is based on the average trading price of the Issuer's shares of common stock converted to U.S. dollars at the prevailing conversion rate on the date that was one day prior to the date of the transaction.
- [F3]Represents shares owned by the 2016-2 GRAT. The reporting person is the donor of the assets in the 2016-2 GRAT.
- [F4]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.
- [F5]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.
- [F6]Represents shares owned by LTC Corporation, which is wholly owned by the reporting person.
- [F7]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.
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
- Jan 25, 7:00 PM ET
- Accepted
- Jan 26, 9:42 AM ET
- Size
- 11.4 KB