0001052918-21-000001.txt : 20210104 0001052918-21-000001.hdr.sgml : 20210104 20210104142720 ACCESSION NUMBER: 0001052918-21-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201230 FILED AS OF DATE: 20210104 DATE AS OF CHANGE: 20210104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BRACKEBUSCH GRANT A CENTRAL INDEX KEY: 0001276957 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-28837 FILM NUMBER: 21501262 MAIL ADDRESS: STREET 1: P.O. BOX 1019 CITY: KELLOGG STATE: IA ZIP: 83837 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 2020-12-30 0 0001030192 NEW JERSEY MINING CO NJMC 0001276957 BRACKEBUSCH GRANT A 201 N. THIRD STREET COEUR D'ALENE ID 83814 0 1 0 0 Vice President Common stock 2020-12-30 4 P 0 100000 0.15 A 1256093 D Common stock 2020-12-30 4 P 0 150000 0.1 A 1406093 D Stock Options 0.15 2020-12-30 4 M 0 100000 0.15 A 2014-12-31 2020-01-01 Common stock 100000 1950000 D Stock Options 0.1 2020-12-30 4 M 0 150000 0.1 A 2014-12-30 2020-12-31 Common stock 150000 1800000 D On December 30, 2020 Grant Brackebusch exercised stock options held to acquire 100,000 shares of common common stock of New Jersey Mining Co. at an exercise price of $0.15 and 150,000 options at an exercise price of $0.10. /s/ Grant Brackebush 2021-01-01