(Name, Address and Telephone Number of Person
Authorized to Receive Notices and Communications)
If the filing person has previously filed a statement on Schedule
13G to report the acquisition that is the subject of this Schedule 13D, and is filing this schedule because of Rule 13d-1(e), 13d-1(f)
or 13d-1(g), check the following box
¨
.
* The remainder of this cover page shall be filled out for a
reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment
containing information which would alter disclosures provided in a prior cover page.
The information required on the remainder of this cover page
shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”)
or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however,
see the Notes).
SCHEDULE 13D
CUSIP NO. 38115J100
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|
Page 2 of 15 Pages
|
1
|
NAMES OF REPORTING PERSON
Landon T. Clay
|
2
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions) N/A
(a)
¨
(b)
x
|
3
|
SEC USE ONLY
|
4
|
SOURCE OF FUNDS (See Instructions)
PF, OO
|
5
|
CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT
TO ITEMS 2(d) OR 2(e)
¨
|
6
|
CITIZENSHIP OR PLACE OF ORGANIZATION
UNITED STATES OF AMERICA
|
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
|
7
|
SOLE VOTING POWER
30,777 shares of Common Stock
|
8
|
SHARED VOTING POWER
32,699,258 shares of Common Stock
|
9
|
SOLE DISPOSITIVE POWER
30,777 shares of Common Stock
|
10
|
SHARED DISPOSITIVE POWER
32,699,258 shares of Common Stock
|
11
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY REPORTING PERSON
32,732,386 shares of Common Stock
|
12
|
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN
SHARES
¨
(See Instructions)
|
13
|
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
26.3%
1
|
14
|
TYPE OF REPORTING PERSON (See Instructions)
IN
|
1
Based on 111,048,683 shares
of Golden Queen Mining Co. Ltd. (the “Company”) outstanding as of November 9, 2016, as reported in the Company’s
Form 10-Q filed with the Securities and Exchange Commission (the “SEC”) on November 9, 2016.
SCHEDULE 13D
CUSIP NO. 38115J100
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Page 3 of 15 Pages
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1
|
NAMES OF REPORTING PERSON
Thomas M. Clay
|
2
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions) N/A
(a)
¨
(b)
x
|
3
|
SEC USE ONLY
|
4
|
SOURCE OF FUNDS (See Instructions)
PF, AF
|
5
|
CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT
TO ITEMS 2(d) OR 2(e)
¨
|
6
|
CITIZENSHIP OR PLACE OF ORGANIZATION
UNITED STATES OF AMERICA
|
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
|
7
|
SOLE VOTING POWER
1,913,650 shares of Common Stock
|
8
|
SHARED VOTING POWER
31,354,989 shares of Common Stock
|
9
|
SOLE DISPOSITIVE POWER
1,913,650 shares of Common Stock
|
10
|
SHARED DISPOSITIVE POWER
31,354,989 shares of Common Stock
|
11
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY REPORTING PERSON
33,268,639 shares of Common Stock
|
12
|
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN
SHARES
¨
(See Instructions)
|
13
|
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
26.7
2
|
14
|
TYPE OF REPORTING PERSON (See Instructions)
IN
|
2
Based on 111,048,683 shares
of the Company outstanding as of November 9, 2016, as reported in the Company’s Form 10-Q filed with the SEC on November
9, 2016.
SCHEDULE 13D
CUSIP NO. 38115J100
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Page 4 of 15 Pages
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1
|
NAMES OF REPORTING PERSON
Brian James
|
2
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions) N/A
(a)
¨
(b)
x
|
3
|
SEC USE ONLY
|
4
|
SOURCE OF FUNDS (See Instructions)
OO
|
5
|
CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT
TO ITEMS 2(d) OR 2(e)
¨
|
6
|
CITIZENSHIP OR PLACE OF ORGANIZATION
UNITED STATES OF AMERICA
|
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
|
7
|
SOLE VOTING POWER
0 shares of Common Stock
|
8
|
SHARED VOTING POWER
15,651,519 shares of Common Stock
|
9
|
SOLE DISPOSITIVE POWER
0 shares of Common Stock
|
10
|
SHARED DISPOSITIVE POWER
15,651,519 shares of Common Stock
|
11
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY REPORTING PERSON
15,651,519 shares of Common Stock
|
12
|
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN
SHARES
¨
(See Instructions)
|
13
|
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
12.6%
3
|
14
|
TYPE OF REPORTING PERSON (See Instructions)
IN
|
3
Based on 111,048,683 shares
of the Company outstanding as of November 9, 2016, as reported in the Company’s Form 10-Q filed with the SEC on November
9, 2016.
SCHEDULE 13D
CUSIP NO. 38115J100
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Page 5 of 15 Pages
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1
|
NAMES OF REPORTING PERSON
Landon T. Clay 2009 Irrevocable Trust u/a March 6, 2009
|
2
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions) N/A
(a)
¨
(b)
¨
|
3
|
SEC USE ONLY
|
4
|
SOURCE OF FUNDS (See Instructions)
OO
|
5
|
CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT
TO ITEMS 2(d) OR 2(e)
¨
|
6
|
CITIZENSHIP OR PLACE OF ORGANIZATION
UNITED STATES OF AMERICA
|
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
|
7
|
SOLE VOTING POWER
10,740,600 shares of Common Stock
|
8
|
SHARED VOTING POWER
0 shares of Common Stock
|
9
|
SOLE DISPOSITIVE POWER
10,740,600 shares of Common Stock
|
10
|
SHARED DISPOSITIVE POWER
0 shares of Common Stock
|
11
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY REPORTING PERSON
10,740,600 shares of Common Stock
|
12
|
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN
SHARES
¨
(See Instructions)
|
13
|
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
8.8%
4
|
14
|
TYPE OF REPORTING PERSON (See Instructions)
OO
|
4
Based on 111,048,683 shares
of the Company outstanding as of November 9, 2016, as reported in the Company’s Form 10-Q filed with the SEC on November
9, 2016.
SCHEDULE 13D
CUSIP NO. 38115J100
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Page 6 of 15 Pages
|
1
|
NAMES OF REPORTING PERSON
Landon T. Clay 2016-2 Annuity Trust u/a dated January 14, 2016
|
2
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions) N/A
(a)
¨
(b)
¨
|
3
|
SEC USE ONLY
|
4
|
SOURCE OF FUNDS (See Instructions)
OO
|
5
|
CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT
TO ITEMS 2(d) OR 2(e)
¨
|
6
|
CITIZENSHIP OR PLACE OF ORGANIZATION
UNITED STATES OF AMERICA
|
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
|
7
|
SOLE VOTING POWER
17,047,739 shares of Common Stock
|
8
|
SHARED VOTING POWER
0 shares of Common Stock
|
9
|
SOLE DISPOSITIVE POWER
17,047,739 shares of Common Stock
|
10
|
SHARED DISPOSITIVE POWER
0 shares of Common Stock
|
11
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY REPORTING PERSON
17,047,739 shares of Common Stock
|
12
|
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN
SHARES
¨
(See Instructions)
|
13
|
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
15.4%
5
|
14
|
TYPE OF REPORTING PERSON (See Instructions)
OO
|
5
Based on 111,048,683 shares
of the Company outstanding as of November 9, 2016, as reported in the Company’s Form 10-Q filed with the SEC on November
9, 2016.
SCHEDULE 13D
CUSIP NO. 38115J100
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Page 7 of 15 Pages
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1
|
NAMES OF REPORTING PERSON
Richard T. Clay
|
2
|
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions) N/A
(a)
¨
(b)
x
|
3
|
SEC USE ONLY
|
4
|
SOURCE OF FUNDS (See Instructions)
OO
|
5
|
CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT
TO ITEMS 2(d) OR 2(e)
¨
|
6
|
CITIZENSHIP OR PLACE OF ORGANIZATION
UNITED STATES OF AMERICA
|
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
|
7
|
SOLE VOTING POWER
1,505,678 shares of Common Stock
|
8
|
SHARED VOTING POWER
14,307,250 shares of Common Stock
|
9
|
SOLE DISPOSITIVE POWER
1,505,678 shares of Common Stock
|
10
|
SHARED DISPOSITIVE POWER
14,307,250 shares of Common Stock
|
11
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY REPORTING PERSON
15,812,928 shares of Common Stock
|
12
|
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN
SHARES
¨
(See Instructions)
|
13
|
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
12.7%
6
|
14
|
TYPE OF REPORTING PERSON (See Instructions)
IN
|
6
Based on 111,048,683 shares
of the Company outstanding as of November 9, 2016, as reported in the Company’s Form 10-Q filed with the SEC on November
9, 2016.
SCHEDULE 13D
CUSIP NO. 38115J100
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Page 8 of 15 Pages
|
This Amendment No. 25 to Schedule 13D (this “Amendment”)
is being filed by the undersigned to amend and restate the disclosures contained in the Schedule 13D originally filed on June 2,
2006 by Landon T. Clay, as amended by a Schedule 13D/A filed on February 2, 2010 by Landon T. Clay and Thomas M. Clay, as amended
by a Schedule 13D/A filed on April 16, 2010, as amended by a Schedule 13D/A filed on June 16, 2010, as amended by a Schedule 13D/A
filed on February 10, 2011, as amended by a Schedule 13D/A filed on April 12, 2011, as amended by a Schedule 13D/A filed on October
14, 2011, as amended by a Schedule 13D/A filed on February 9, 2012, as amended by a Schedule 13D/A filed on April 25, 2012 by Landon
T. Clay, Thomas M. Clay and the Landon T. Clay 2009 Irrevocable Trust u/a dated March 6, 2006 (the “LTC 2009 Trust”),
as amended by a Schedule 13D/A filed on July 16, 2012, as amended by a Schedule 13D/A filed on October 26, 2012, as amended by
a Schedule 13D/A filed on February 21, 2013, as amended by a Schedule 13D/A filed on March 27, 2013, as amended by a Schedule 13D/A
filed on May 2, 2013, as amended by a Schedule 13D/A filed on July 30, 2013, as amended by a Schedule 13D/A filed on July 31, 2013,
as amended by a Schedule 13D/A filed on December 10, 2013, as amended by a Schedule 13D/A filed on March 26, 2014, as amended by
a Schedule 13D/A filed on June 18, 2014, as amended by a Schedule 13D/A filed on July 25, 2014, as amended by a Schedule 13D/A
filed on January 15, 2015, as amended by a Schedule 13D/A filed on August 13, 2015, as amended by a Schedule 13D/A filed on December
31, 2015 by Landon T. Clay, Thomas M. Clay, the LTC 2009 Trust and Brian James, as amended by a Schedule 13D/A filed on January
27, 2016 by Landon T. Clay, Thomas M. Clay, the LTC 2009 Trust, Brian James and the Landon T. Clay 2016-2 Annuity Trust u/a dated
January 14, 2016 (the “2016-2 GRAT”), and as amended by a Schedule 13D/A filed on August 4, 2016 (as amended, the “Schedule
13D”). This Amendment is being filed to update the beneficial holdings of each of the undersigned following the issuance
of certain warrants by Golden Queen Mining Co. Ltd., a corporation organized under the laws of British Columbia, Canada (the “Company”
or “Golden Queen”) on November 21, 2016, and to add Richard T. Clay as a Reporting Person following his appointment
as a trustee of the LTC 2009 Trust and the Clay Family 2009 Irrevocable Trust u/a dated April 14, 2009 (the “CF 2009 Trust”
and, together with the LTC 2009 Trust, the “2009 Trusts”) in October 2016 and, consequently, to reflect the deemed
beneficial ownership by Richard T. Clay of more than 5% of the outstanding common stock of the Company, and to reflect certain
other changes in the facts set forth in the Schedule 13D. Landon T. Clay, Thomas M. Clay, Brian James, the LTC 2009 Trust, the
2016-2 GRAT and Richard T. Clay are hereinafter referred to as the “Reporting Persons”.
Item 1. Security
and Issuer.
This Amendment relates to the common stock
of Golden Queen (the “Common Stock”). The principal executive office of the Company is 6411 Imperial Ave., West Vancouver,
BC V7W 2J5.
Item 2. IdentiTy
and Background.
(a) This statement is being filed by Landon
T. Clay, Thomas M. Clay, Brian James, the LTC 2009 Trust, the 2016-2 GRAT and Richard T. Clay as Reporting Persons.
SCHEDULE 13D
CUSIP NO. 38115J100
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Page 9 of 15 Pages
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(b) The business address for each Reporting
Person is c/o East Hill Management Company, LLC, 70 Main Street, Suite 300, Peterborough, NH 03458, United States of America.
(c) Landon T. Clay is the Managing Member,
Thomas M. Clay is a Vice President, and Brian James is a Vice President of East Hill Management Company, LLC. Thomas M. Clay is
also Chairman and Interim Chief Executive Officer of Golden Queen. The address of East Hill Management Company, LLC is 70 Main
Street, Suite 300, Peterborough, NH 03458, United States of America.
(d) None of the Reporting Persons has, during
the last five years, been convicted in a criminal proceeding.
(e) None of the Reporting Persons has, during
the last five years, been a party to a civil proceeding of a judicial or administrative body of competent jurisdiction and as a
result of such proceeding was or is subject to a judgment, decree or final order enjoining future violations of, or prohibiting
or mandating activities subject to, federal or state securities laws or finding any violation with respect to such laws.
(f) Each of Landon T. Clay, Thomas M. Clay,
Brian James, and Richard T. Clay is a citizen of the United States of America, and each of the LTC 2009 Trust and the 2016-2 GRAT
is domiciled in the United States.
Item 3. Source and
Amount of Funds or Other Consideration.
“Item 3. Source and Amount of Funds
or Other Consideration” of the Schedule 13D is hereby amended to include the following after the sixth paragraph thereof:
On November 30, 2016, Thomas M. Clay was
granted options to purchase an aggregate of 100,000 shares of Common Stock at an exercise price of $0.66 USD per share (the “2016
Options”). The 2016 Options will vest in equal one-third installments on the first, second and third anniversaries of the
date of grant, with regular acceleration provisions upon a change of control. The 2016 Options will expire on November 30, 2021.
“Item 3. Source and Amount of Funds
or Other Consideration” of the Schedule 13D is hereby further amended to include the following after the last paragraph thereof:
On November 21, 2016, pursuant to the Second
Amended and Restated Term Loan Agreement, dated November 21, 2016, by and among the Company, the LTC 2009 Trust, the CF 2009 Trust
and EHT, LLC (the “Second Amended and Restated Term Loan Agreement”), the LTC 2009 Trust and the CF 2009 Trust acquired
warrants to purchase up to 4,773,600 and 1,226,400 shares of Common Stock, respectively (the “2016 Warrants”). The
2016 Warrants are exercisable immediately and expire on November 21, 2021. Thomas M. Clay, Brian James and Richard T. Clay are
trustees of each of the 2009 Trusts. Landon T. Clay is the donor of each of the 2009 Trusts and has the right to substitute property
of equivalent value for shares of Common Stock held by each of the 2009 Trusts.
SCHEDULE 13D
CUSIP NO. 38115J100
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Page 10 of 15 Pages
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Richard T. Clay
Between 1997 and 2013, Richard T. Clay received
an aggregate of 1,505,678 shares of Common Stock through various gifts from family trusts and family members.
In October 2016, Richard T. Clay was appointed
as a trustee of each of the 2009 Trusts. As a trustee of each of the 2009 Trusts, Richard T. Clay is deemed to beneficially own
the shares of Common Stock held by the 2009 Trusts.
Item 4. Purpose of
Transaction.
“Item 4. Purpose of Transaction”
of the Schedule 13D is hereby amended by amending and restating the third to last paragraph thereof with the following:
Thomas M. Clay, Brian James and Richard
T. Clay are trustees of each of the 2009 Trusts. Landon T. Clay is the donor of each of the 2009 Trusts and has the right to substitute
property of equivalent value for shares of Common Stock held by each of the 2009 Trusts.
“Item 4. Purpose of Transaction”
of the Schedule 13D is hereby further amended by adding the following after the last paragraph thereof:
On November 21, 2016, pursuant to the Second
Amended and Restated Term Loan Agreement, the Company issued the 2016 Warrants for a purchase price of $0.85 USD per share, subject
to certain adjustments. The 2016 Warrants are exercisable immediately and expire on November 21, 2021.
In October 2016, Richard T. Clay was appointed
trustee of each of the 2009 Trusts. As a result, Richard T. Clay is deemed to be the beneficial owner of more than 5% of the outstanding
Common Stock. All of the shares of Common Stock beneficially owned by Richard T. Clay and reported herein are beneficially owned
by the 2009 Trusts and are attributed to Richard T. Clay as a trustee thereof.
Item 5. Interest
in Securities of the Issuer.
“Item 5. Interest in Securities of
the Issuer” of the Schedule 13D is hereby amended and restated in its entirety to read as follows:
(a) According to the Company’s Form 10-Q that was
filed with the SEC on November 9, 2016, 111,048,683 shares of Common Stock were outstanding as of November 9, 2016.
Landon T. Clay is the father of Thomas M.
Clay and Richard T. Clay.
SCHEDULE 13D
CUSIP NO. 38115J100
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Page 11 of 15 Pages
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Landon T. Clay may be deemed to own beneficially
an aggregate of 32,732,386 shares of Common Stock, which constitute 26.3% of such class of securities. This total includes (i)
26,114 shares of Common Stock held by LTC Corporation, (ii) 4,663 shares of Common Stock held in an individual retirement account,
(iii) 807,250 shares of Common Stock held by Arctic Coast Petroleums, Ltd., a corporation organized under the laws of Alberta,
Canada (“Arctic Coast”), (iv) 2,351 shares of Common Stock held by Landon T. Clay’s spouse, Lavinia D. Clay,
(v) 1,344,269 shares of Common Stock held by the Monadnock Charitable Annuity Lead Trust dated May 31, 1996 (the “Monadnock
Trust”), (vi) 17,047,739 shares of Common Stock held by the 2016-2 GRAT, (vii) 2,759,400 shares of Common Stock issuable
upon the exercise of warrants held by the CF 2009 Trust and (viii) 10,740,600 shares of Common Stock issuable upon the exercise
of warrants held by the LTC 2009 Trust. Each of Landon Clay’s four sons, including Thomas M. Clay and Richard T. Clay, has
a remainder beneficial interest in the Monadnock Trust. East Hill Management Company, LLC, of which Landon T. Clay is a principal,
provides investment advisory services to the Monadnock Trust. Landon T. Clay disclaims beneficial ownership of the shares of Common
Stock held by his spouse, Lavinia D. Clay, the shares of Common Stock held by Arctic Coast, and the shares of Common Stock held
by the Monadnock Trust.
Thomas M. Clay may be deemed to own beneficially
an aggregate of 33,268,639 shares of Common Stock, which constitute 26.7% of such class of securities. This total includes (i)
1,806,400 shares of Common Stock held directly by Thomas M. Clay, (ii) 807,250 shares of Common Stock held by Arctic Coast, (iii)
2,759,400 shares of Common Stock issuable upon the exercise of warrants held by the CF 2009 Trust, (iv) 10,740,600 shares of Common
Stock issuable upon the exercise of warrants held by the LTC 2009 Trust, (v) 107,250 shares of Common Stock issuable upon the exercise
of options to purchase Common Stock at an exercise price of $0.58 CAD per share and (vi) 17,047,739 shares of Common Stock held
by the 2016-2 GRAT.
Brian James may be deemed to own beneficially
an aggregate of 15,651,519 shares of Common Stock, which constitute 12.6% of such class of securities. This total includes (i)
2,759,400 shares of Common Stock issuable upon the exercise of warrants held by the CF 2009 Trust, (ii) 10,740,600 shares of Common
Stock issuable upon the exercise of warrants held by the LTC 2009 Trust, (iii) 807,250 shares of Common Stock held by Arctic Coast
and (iv) 1,344,269 shares of Common Stock held by the Monadnock Trust. Brian James is a trustee of each of the 2009 Trusts and
the Monadnock Trust, as well as the trustee of the beneficial owner of Arctic Coast. Brian James disclaims beneficial ownership
of the shares of Common Stock held by the 2009 Trusts, Arctic Coast and the Monadnock Trust.
The LTC 2009 Trust beneficially owns an
aggregate of 10,740,600 shares of Common Stock issuable upon the exercise of warrants held by the LTC 2009 Trust, which constitute
8.8% of such class of securities.
The 2016-2 GRAT beneficially owns an aggregate
of 17,047,739 shares of Common Stock, which constitute 15.4% of such class of securities.
SCHEDULE 13D
CUSIP NO. 38115J100
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Page 12 of 15 Pages
|
Richard T. Clay may be deemed to own beneficially
an aggregate of 15,812,928 shares of Common Stock, which constitute 12.7% of such class of securities. This total includes (i)
1,505,678 shares of Common Stock held directly by Richard T. Clay, (ii) 807,250 shares of Common Stock held by Arctic Coast, (iii)
2,759,400 shares of Common Stock issuable upon the exercise of warrants held by the CF 2009 Trust and (iv) 10,740,600 shares of
Common Stock issuable upon the exercise of warrants held by the LTC 2009 Trust.
(b) Landon T. Clay has sole voting and dispositive power
of 30,777 shares of Common Stock. Thomas M. Clay has sole voting and dispositive power of 1,913,650 shares of Common Stock, including
107,250 shares of Common Stock issuable upon the exercise of options. Brian James has sole voting and dispositive power of 0 shares
of Common Stock. The LTC 2009 Trust has sole voting and dispositive power of 10,740,600 shares of Common Stock. The 2016-2 GRAT
has sole voting and dispositive power of 17,047,739 shares of Common Stock. Richard T. Clay has sole voting and dispositive power
of 1,505,678 shares of Common Stock. Landon T. Clay may be deemed to share voting and dispositive power over 32,699,258 shares
of Common Stock which consist of (i) 807,250 shares of Common Stock held by Arctic Coast, (ii) 1,344,269 shares of Common Stock
held by the Monadnock Trust, (iii)
2,759,400 shares of Common Stock issuable upon the exercise
of warrants held by the CF 2009 Trust, (iv) 10,740,600 shares of Common Stock issuable upon the exercise of warrants held by the
LTC 2009 Trust and (v) 17,047,739 shares of Common Stock held by the 2016-2 GRAT. Thomas M. Clay may be deemed to share voting
and dispositive power over 31,354,989 shares of Common Stock which consist of (i) 807,250 shares of Common Stock held by Arctic
Coast, (ii
) 2,759,400 shares of Common Stock issuable upon the exercise of warrants held by the CF 2009 Trust, (iii) 10,740,600
shares of Common Stock issuable upon the exercise of warrants held by the LTC 2009 Trust and (iv) 17,047,739 shares of Common Stock
held by the 2016-2 GRAT.
Brian James may be deemed to share voting and dispositive power over 15,651,519
shares of Common Stock which consist of (i) 807,250 shares of Common Stock held by Arctic Coast, (ii) 1,344,269 share
s of
Common Stock held by the Monadnock Trust, (iii) 2,759,400 shares of Common Stock issuable upon the exercise of warrants held by
the CF 2009 Trust and (iv) 10,740,600 shares of Common Stock issuable upon the exercise of warrants held by the LTC 2009 Trust.
Each of the 2009 Trusts has shared voting and dispositive power of 0 shares of Common Stock.
Richard
T. Clay may be deemed to share voting and dispositive power over 14,307,250 shares of Common Stock which consist of (i) 807,250
shares of Common Stock held by Arctic Coast, (ii
) 2,759,400 shares of Common Stock issuable upon the exercise of warrants
held by the CF 2009 Trust and (iii) 10,740,600 shares of Common Stock issuable upon the exercise of warrants held by the LTC 2009
Trust.
(c) On November 21, 2016, pursuant to the Second Amended
and Restated Term Loan Agreement, the LTC 2009 Trust and the CF 2009 Trust acquired the 2016 Warrants. The 2016 Warrants are exercisable
immediately and expire on November 21, 2021. Thomas M. Clay, Brian James and Richard T. Clay are trustees of each of the 2009 Trusts.
Landon T. Clay is the donor of each of the 2009 Trusts and has the right to substitute property of equivalent value for shares
of Common Stock held by each of the 2009 Trusts.
On November 30, 2016, Thomas M. Clay was
granted the 2016 Options. The 2016 Options will vest in equal one-third installments on the first, second and third anniversaries
of the date of grant, with regular acceleration provisions upon a change of control, and will expire on November 30, 2021.
SCHEDULE 13D
CUSIP NO. 38115J100
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Page 13 of 15 Pages
|
(d) Inapplicable.
(e) Inapplicable.
Item 6. Contracts,
Arrangements, Understandings or Relationships With Respect to Securities of the Issuer.
There have been no material changes to the
information previously reported under Item 6 in the Schedule 13D with respect to the Reporting Persons.
Item 7. Material
to be Filed as Exhibits
Exhibit 1
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Joint filing agreement, dated as of February 12, 2010, by and between Landon T. Clay and Thomas M. Clay.*
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Exhibit 2
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Joint filing agreement, dated as of April 24, 2012, by and between Landon T. Clay, Thomas M. Clay and the Landon T. Clay 2009 Irrevocable Trust.**
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Exhibit 3
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Transaction Agreement, dated June 8, 2014 (Incorporated by reference to Golden Queen’s Current Report on Form 8-K filed on June 12, 2014).
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Exhibit 4
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Voting and Support Agreement, dated as of June 8, 2014.***
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Exhibit 5
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Standby Purchase Agreement, dated as of June 8, 2014 (Incorporated by reference to Golden Queen’s Current Report on Form 8-K filed on June 12, 2014).
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Exhibit 6
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Registration Rights Agreement, dated as of June 8, 2014 (Incorporated by reference to Golden Queen’s Current Report on Form 8-K filed on June 12, 2014).
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Exhibit 7
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Amended and Restated Registration Rights Agreement, dated as of June 8, 2015 (Incorporated by reference to Golden Queen’s Current Report on Form 8-K filed on June 9, 2015).
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Exhibit 8
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Form of Share Purchase Warrants of Golden Queen Mining Co. Ltd.
,
dated as of June 8, 2015 (Incorporated by reference to Golden Queen’s Current Report on Form 8-K filed on June 9, 2015).
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Exhibit 9
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Joint Filing Agreement, dated as of December 18, 2015, among Landon T. Clay, Thomas M. Clay, Brian James and the Landon T. Clay 2009 Irrevocable Trust.****
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SCHEDULE 13D
CUSIP NO. 38115J100
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Page 14 of 15 Pages
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Exhibit 10
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Joint Filing Agreement, dated as of January 27, 2016, among Landon T. Clay, Thomas M. Clay, Brian James, the Landon T. Clay 2009 Irrevocable Trust and the Landon T. Clay 2016-2 Annuity Trust.*****
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Exhibit 11
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Joint Filing Agreement, dated as of December 2, 2016, among Landon T. Clay, Thomas M. Clay, Brian James, Richard T. Clay, the Landon T. Clay 2009 Irrevocable Trust and the Landon T. Clay 2016-2 Annuity Trust (Filed herewith).
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Exhibit 12
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Form of Share Purchase Warrants of Golden Queen Mining Co. Ltd.
,
dated as of November 21, 2016 (Incorporated by reference to Golden Queen’s Current Report on Form 8-K filed on November 25, 2016).
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*Included as an exhibit to the Schedule 13D/A filed on February
2, 2010.
**Included as an exhibit to the Schedule 13D/A filed on April
25, 2012.
***Included as an exhibit to the Schedule 13D/A filed on June
18, 2014.
**** Included as an exhibit to the Schedule 13D/A filed on December
18, 2015.
***** Included as an exhibit to the Schedule 13D/A filed on
January 27, 2016.
SIGNATURE
After reasonable inquiry and to the best
of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
December 2, 2016
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LANDON T. CLAY
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By:
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/s/ Landon T. Clay
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Landon T. Clay
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December 2, 2016
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THOMAS M. CLAY
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By:
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/s/ Thomas M. Clay
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Thomas M. Clay
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December 2, 2016
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BRIAN JAMES
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By:
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/s/ Brian James
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Brian James
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December 2, 2016
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LANDON T. CLAY 2009 IRREVOCABLE TRUST U/A DATED MARCH 6, 2009
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By:
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/s/ Thomas M. Clay
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Thomas M. Clay, Trustee
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December 2, 2016
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LANDON T. CLAY 2016-2 ANNUITY TRUST U/A DATED JANUARY 14, 2016
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By:
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/s/ Thomas M. Clay
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Thomas M. Clay, Trustee
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December 2, 2016
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RICHARD T. CLAY
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By:
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/s/ Richard T. Clay
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Richard T. Clay
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