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