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