0001052918-21-000247.txt : 20210629 0001052918-21-000247.hdr.sgml : 20210629 20210629175324 ACCESSION NUMBER: 0001052918-21-000247 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210628 FILED AS OF DATE: 20210629 DATE AS OF CHANGE: 20210629 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: 211059446 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 2021-06-28 0 0001030192 NEW JERSEY MINING CO NJMC 0001507926 Hayes Monique D 201 N. THIRD STREET COEUR D'ALENE ID 83814 0 1 0 0 Corporate Secretary Common shares 2021-06-28 4 P 0 138888 0.18 A 338688 D Convertible promissory note 0.18 2021-06-28 4 M 0 138000 0.18 A 2020-02-20 Common stock 138888 200000 D Reporting person exercised the option to Convert Promissory Note dated 2/20/20 into shares of the common stock of the Company. None. /s/ Monique Hayes 2021-06-29