0001052918-20-000030.txt : 20200221
0001052918-20-000030.hdr.sgml : 20200221
20200221210507
ACCESSION NUMBER: 0001052918-20-000030
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200220
FILED AS OF DATE: 20200221
DATE AS OF CHANGE: 20200221
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hayes Monique D
CENTRAL INDEX KEY: 0001507926
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-28837
FILM NUMBER: 20641877
MAIL ADDRESS:
STREET 1: 11115 E. MONTGOMERY
STREET 2: SUITE G
CITY: SPOKANE VALLEY
STATE: WA
ZIP: 99206
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: NEW JERSEY MINING CO
CENTRAL INDEX KEY: 0001030192
STANDARD INDUSTRIAL CLASSIFICATION: GOLD & SILVER ORES [1040]
IRS NUMBER: 820490295
STATE OF INCORPORATION: ID
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 89 APPLEBERG RD
STREET 2: PO BOX 1019
CITY: KELLOGG
STATE: ID
ZIP: 83837
BUSINESS PHONE: 208-783-3331
MAIL ADDRESS:
STREET 1: 89 APPLEBERG ROAD
STREET 2: PO BOX 1019
CITY: KELLOGG
STATE: ID
ZIP: 83837
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2020-02-20
0
0001030192
NEW JERSEY MINING CO
NJMC
0001507926
Hayes Monique D
11115 E. MONTGOMERY
SUITE G
SPOKANE VALLEY
WA
99206
0
1
0
0
Corporate Secretary
Convertible promissory note
0.18
2020-02-20
4
P
0
138888.89
25000
A
2023-02-18
Common stock
138888.89
338688.89
D
See Note 1
Note 1. The Reporting Person may exercise the option to convert the
Promissory Note into shares of Common Stock either (a) no later than
thirty (30) days prior to the Expiration Date (01/19/2023), or (b)
upon: (i) the merger or consolidation of the Issuer with or into another
entity by means of any transaction or series of related transactions to
which the Issuer is party other than a transaction or series of transactions
in which the holders of the voting securities of the Issuer outstanding
immediately prior to such transaction retain, immediately after such
transaction or series of transactions, as a result of shares in the Issuer
held by such holders prior to such transaction, at least a majority of the
total voting power represented by the outstanding voting securities of the
Issuer or such other surviving or resulting entity (or if the Issuer or such
other surviving or resulting entity is a wholly- owned subsidiary immediately
following such acquisition, its parent); or (i) the dissolution of the Issuer
following a sale, lease or other disposition of all or substantially all of
the assets of the Issuer and its subsidiaries taken as a whole (including an
exclusive license to a third party of the Issuer's core technology) by means
of any transaction or series of related transactions, except where such sale,
lease or other disposition is to a wholly-owned subsidiary of the Issuer.
/s/ Monique Hayes
2020-02-21