0001052918-21-000353.txt : 20211022 0001052918-21-000353.hdr.sgml : 20211022 20211022174336 ACCESSION NUMBER: 0001052918-21-000353 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211020 FILED AS OF DATE: 20211022 DATE AS OF CHANGE: 20211022 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: 211341658 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 2021-10-20 0 0001030192 NEW JERSEY MINING CO NJMC 0001276957 BRACKEBUSCH GRANT A 201 N. THIRD STREET COEUR D'ALENE ID 83814 1 1 0 0 Vice President Stock Options 0.4 2021-10-20 4 A 0 100000 0.4 A 2021-10-20 2024-10-20 Common Stock 100000 550000 D /s/ Grant Brackebusch 2021-10-21