DUGAN AL W 4
4 · UNITED STATES ANTIMONY CORP · Filed Jan 8, 2004
Insider Transaction Report
Form 4
DUGAN AL W
10% Owner
Transactions
- Purchase
Warrant to Purchase Common Shares
2003-12-22+1→ 11 total(indirect: By Delaware Royalty Company, Inc.)Exercise: $0.20From: 2003-12-22Exp: 2008-12-22→ common stock (2,000,000 underlying) - Purchase
Promissory Note Convertible into Common Shares
2003-12-22$250000.00/sh+1$250,000→ 1 total(indirect: By Delaware Royalty Company, Inc.)Exercise: $0.20From: 2003-12-22Exp: 2008-01-21→ common stock (1,250,000 underlying)
Footnotes (1)
- [F1]The Warrant to Purchase Common Shares listed above was issued by United States Antimony Corporation in connection with the Reporting Person's purchase of the Convertible Promissory Note reported on this Form 4. The Reporting Person currently holds ten (10) other warrants to purchase an aggregate (two (2) indirectly through Delaware Royalty Trust, Inc.) to purchase up to an aggregate 1,059,051 shares of Common Stock at an Exercise Price ranging from $0.20 to $0.41 as reported on the Reporting Person's Form 3 filed on May 9, 2002.