Clay Thomas Moragne 4
4 · GOLDEN QUEEN MINING CO LTD · Filed Nov 22, 2017
Insider Transaction Report
Form 4
Clay Thomas Moragne
Director
Transactions
- Other
Common Stock
2017-11-21+26,114→ 26,114 total(indirect: By corporation)
Holdings
- 1,344,269(indirect: By Trust)
Common Stock
- 807,250(indirect: By Trust)
Common Stock
- 10,163,295(indirect: By Trust)
Common Stock
- 1,806,400
Common Stock
Footnotes (4)
- [F1]Represents shares owned by LTC Corporation ("LTC Corp"). The reporting person was appointed President of LTC Corp on November 21, 2017. LTC Corp is wholly owned by the estate of the reporting person's late father. The reporting person disclaims beneficial ownership of the shares held by LTC Corp.
- [F2]Represents shares owned by the Landon T. Clay 2016-2 Annuity Trust u/a dated January 14, 2016 (the "2016-2 GRAT") for the benefit of the estate of the reporting person's father. The reporting person's father was the donor of the assets to the 2016-2 GRAT, and the reporting person is the sole trustee under the 2016-2 GRAT. The reporting person disclaims beneficial ownership of the shares held by the 2016-2 GRAT.
- [F3]Represents shares owned by the Monadnock Charitable Lead Annuity Trust dated May 31, 1996 ("Monadnock"). The reporting person's father was the donor of the assets to Monadnock and the reporting person has a remainder beneficial interest in the assets held by Monadnock. The reporting person disclaims beneficial ownership of the shares held by Monadnock except to the extent of his proportionate pecuniary interest therein.
- [F4]Represents shares owned by Arctic Coast Petroleums, Ltd. ("Arctic Coast"). The reporting person is a trustee of the Clay Family 2009 Irrevocable Trust dated April 14, 2009 (the "CF 2009 Trust"), which owns 50% of Arctic Coast. The reporting person's father was the donor of the portion of Arctic Coast held by the CF 2009 Trust. The reporting person is a director of Arctic Coast.