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