0001408939-12-000001.txt : 20120131 0001408939-12-000001.hdr.sgml : 20120131 20120131193138 ACCESSION NUMBER: 0001408939-12-000001 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111231 FILED AS OF DATE: 20120131 DATE AS OF CHANGE: 20120131 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Williams Jason Miles JM CENTRAL INDEX KEY: 0001408939 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 333-120120-01 FILM NUMBER: 12560660 MAIL ADDRESS: STREET 1: 203 SHAKESPEARE TOWER STREET 2: THE BARBICAN CITY: LONDON STATE: X0 ZIP: EC2Y 8DR ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BINGO.COM LTD. CENTRAL INDEX KEY: 0001318482 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-AMUSEMENT & RECREATION SERVICES [7900] IRS NUMBER: 000000000 STATE OF INCORPORATION: Y6 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: HANSA BANK BUILDING STREET 2: GROUND FLOOR, LANSOME ROAD CITY: THE VALLEY STATE: 1A ZIP: AI2640 BUSINESS PHONE: 264 461 2646 MAIL ADDRESS: STREET 1: HANSA BANK BUILDING STREET 2: GROUND FLOOR, LANSOME ROAD CITY: THE VALLEY STATE: 1A ZIP: AI2640 5 1 primary_doc.xml PRIMARY DOCUMENT X0304 5 2011-12-31 0 0 0 0001318482 BINGO.COM LTD. BNGOF 0001408939 Williams Jason Miles JM 203 SHAKESPEARE TOWER THE BARBICAN LONDON X0 EC2Y 8DR UNITED KINGDOM 1 1 1 0 Chief Executive Officer Common Stock 208200 D Common Stock 15117465 I Discretionary Trust EMPLOYEE STOCK (RIGHT TO BUY) 0.27 2007-02-28 2012-02-28 Common Stock 175000 475000 D EMPLOYEE STOCK (RIGHT TO BUY) 0.31 2008-05-28 2013-05-28 Common Stock 100000 475000 D EMPLOYEE STOCK (RIGHT TO BUY) 0.17 2009-06-19 2014-06-19 Common Stock 100000 475000 D EMPLOYEE STOCK (RIGHT TO BUY) 0.15 2010-09-30 2015-09-30 Common Stock 100000 475000 D Mr Williams is a potential beneficiary of several discretionary trusts that hold approximately 80% of Bingo, Inc. Bingo, Inc. is the holder of these securities. /s/ J. M. Williams 2012-01-31