0001728440-18-000003.txt : 20180607 0001728440-18-000003.hdr.sgml : 20180607 20180607164800 ACCESSION NUMBER: 0001728440-18-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180515 FILED AS OF DATE: 20180607 DATE AS OF CHANGE: 20180607 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Estate of Landon Thomas Clay CENTRAL INDEX KEY: 0001728440 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21777 FILM NUMBER: 18887015 BUSINESS ADDRESS: STREET 1: C/O EAST HILL MANAGEMENT COMPANY, LLC STREET 2: 70 MAIN STREET, SUITE 300 CITY: PETERBOROUGH STATE: NH ZIP: 03458 BUSINESS PHONE: 6033719032 MAIL ADDRESS: STREET 1: C/O EAST HILL MANAGEMENT COMPANY, LLC STREET 2: 70 MAIN STREET, SUITE 300 CITY: PETERBOROUGH STATE: NH ZIP: 03458 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GOLDEN QUEEN MINING CO LTD CENTRAL INDEX KEY: 0001025362 STANDARD INDUSTRIAL CLASSIFICATION: METAL MINING [1000] IRS NUMBER: 000000000 STATE OF INCORPORATION: A1 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: GOLDEN QUEEN MINING CO. LTD. STREET 2: #2300 - 1066 WEST HASTINGS STREET CITY: VANCOUVER STATE: A1 ZIP: V6E 3X2 BUSINESS PHONE: 604-921-7570 MAIL ADDRESS: STREET 1: GOLDEN QUEEN MINING CO. LTD. STREET 2: #2300 - 1066 WEST HASTINGS STREET CITY: VANCOUVER STATE: A1 ZIP: V6E 3X2 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2018-05-15 0 0001025362 GOLDEN QUEEN MINING CO LTD GQM 0001728440 Estate of Landon Thomas Clay C/O EAST HILL MANAGEMENT COMPANY, LLC 70 MAIN STREET, SUITE 300 PETERBOROUGH NH 03458 0 0 1 0 Common Stock 2018-05-15 5 W 0 E 4663 0 D 118415009 D Common Stock 2018-06-05 4 J 0 248082 0 A 118663091 D Common Stock 2018-06-05 4 J 0 248082 0 D 0 I By corporation Represents shares of common stock of Golden Queen Mining Co. Ltd. (the "Issuer") that were held in an individual retirement account in the name of Mr. Landon Thomas Clay (the "IRA"). Ownership of these shares of common stock passed to Mr. Landon Thomas Clay's spouse following the death of Mr. Landon Thomas Clay in July 2017. Represents shares of common stock of the Issuer held by LTC Corporation ("LTC Corp"). The Reporting Person is the sole stockholder of LTC Corp following the death of Mr. Landon Thomas Clay in July 2017. On June 5, 2018, LTC Corp distributed all of its shares of common stock of the Issuer to the Reporting Person. Following this distribution the Reporting Person will report these shares of common stock of the Issuer as being directly beneficially owned. /s/ Thomas M. Clay, Executor 2018-06-07