Annual Statement of Changes in Beneficial Ownership (5)
17 February 2021 - 8:52AM
Edgar (US Regulatory)
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
[ ]
Form 3 Holdings Reported
[X]
Form 4 Transactions Reported
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0362
Estimated average burden hours per response...
1.0
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
1. Name and Address of Reporting Person
*
Gallagher Nicholas | 2. Issuer Name and Ticker or Trading SymbolGOLDRICH MINING CO [GRMC] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director __X__ 10% Owner _____ Officer (give title below) _____ Other (specify below)
|
(Last)
(First)
(Middle)
5 CHURCHFIELDS, THE K CLUB, STRAFFAN | 3. Statement for Issuer's Fiscal Year Ended (MM/DD/YYYY) 12/31/2020 |
(Street)
KILDARE, L2 0000
(City)
(State)
(Zip)
| 4. If Amendment, Date Original Filed(MM/DD/YYYY) | 6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form Filed by One Reporting Person
___ Form Filed by More than One Reporting Person
|
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
|
1.Title of Security (Instr. 3) | 2. Trans. Date | 2A. Deemed Execution Date, if any | 3. Trans. Code (Instr. 8) | 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) |
Amount | (A) or (D) | Price |
Common stock | 9/16/2020 | | A4 | 11265055 | A | $0.015 | 15036975 | D | |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (MM/DD/YYYY) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of Derivative Securities Beneficially Owned at End of Issuer's Fiscal Year (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Class Q Warrant | $0.03 | 7/31/2020 | | S4
| | 3066666 | 12/8/2015 | 12/8/2020 | Common stock | 3066666 | $0.03 | 0 | D | |
Class Q Warrant | $0.03 | 8/20/2020 | | S4
| | 1666666 | 12/8/2015 | 12/8/2020 | Common stock | 1666666 | $0.03 | 0 | D | |
Class Q Warrant | $0.03 | 8/21/2020 | | S4
| | 1333333 | 12/8/2015 | 12/8/2020 | Common stock | 1333333 | $0.03 | 0 | D | |
Class Q Warrant | $0.03 | 8/26/2020 | | S4
| | 833333 | 12/8/2015 | 12/8/2020 | Common stock | 833333 | $0.03 | 0 | D | |
Class Q Warrant | $0.03 | 8/27/2020 | | S4
| | 1099999 | 12/8/2015 | 12/8/2020 | Common stock | 1099999 | $0.03 | 0 | D | |
Class T Warrant | $0.03 | 9/17/2020 | | S4
| | 5000000 | 12/22/2017 | 12/22/2022 | Common stock | 5000000 | $0.03 | 11824966 | I | NGB Capital ltd |
Class Q Warrant | $0.03 | 10/29/2020 | | S4
| | 333336 | 12/8/2015 | 12/8/2020 | Common stock | 333336 | $0.03 | 0 | D | |
Class Q-2 Warrant | $0.03 | 10/29/2020 | | S4
| | 833333 | 12/8/2015 | 12/8/2020 | Common stock | 833333 | $0.03 | 0 | D | |
Class S Warrant | $0.03 | 10/29/2020 | | S4
| | 466667 | 12/30/2016 | 12/31/2021 | Common stock | 466667 | $0.03 | 4633336 | D | |
Explanation of Responses: |
Reporting Owners
|
Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Gallagher Nicholas 5 CHURCHFIELDS, THE K CLUB STRAFFAN KILDARE, L2 0000 | X | X |
|
|
Signatures
|
/s/ Nicholas Gallagher | | 2/12/2021 |
**Signature of Reporting Person | Date |
Goldrich Mining (CE) (USOTC:GRMC)
Historical Stock Chart
From Jan 2025 to Feb 2025
Goldrich Mining (CE) (USOTC:GRMC)
Historical Stock Chart
From Feb 2024 to Feb 2025