|5Aug 26, 7:16 PM ET

Roy Gavin Hugh 5

5 · Black Tusk Minerals Inc. · Filed Aug 26, 2011

Insider Transaction Report

Form 5
Period: 2011-05-31
Roy Gavin Hugh
DirectorPresident10% Owner
Transactions
  • Other

    Common Stock Warrants

    2011-04-14266,6672,193,137 total(indirect: Magellan Management Company)
    Exercise: $266667.00From: 2011-02-08Exp: 2016-02-08Common Stock (266,667 underlying)
  • Other

    Common Stock

    2011-04-14266,6677,553,050 total(indirect: Magellan Management Company)
  • Other

    Common Stock Warrants

    2011-03-302,703,5092,459,804 total(indirect: Magellan Management Company)
    Exercise: $2703509.00From: 2011-02-08Exp: 2016-02-08Common Stock (2,703,509 underlying)
  • Other

    Common Stock

    2011-03-302,703,5097,819,717 total(indirect: Magellan Management Company)
  • Award

    Stock Option (Right to Buy)

    2011-03-18+100,000100,000 total(indirect: Magellan Management Company)
    Exercise: $0.12From: 2011-03-18Exp: 2021-03-18Common Stock (100,000 underlying)
Footnotes (2)
  • [F1]Indirectly held through Magellan Management Company; Gavin Hugh Roy is the principal of Magellan Management Company and has sole voting and investment control over the shares.
  • [F2]Represents securities acquired in a February 2011 unit offering, each unit consisting of one common share and one common share purchase warrant as a partial settlement of debt. (The original acquisition was previously reported on a Form 4 filed by the reporting person.) The reporting person rescinded 2,703,509 of the units on 3/30/11 and 266,667 of the units on 4/14/11.

Documents

1 file
  • 5
    doc1.xmlPrimary

    FORM 5