0001643486-15-000003.txt : 20150602 0001643486-15-000003.hdr.sgml : 20150602 20150602192328 ACCESSION NUMBER: 0001643486-15-000003 CONFORMED SUBMISSION TYPE: 3/A PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20150520 FILED AS OF DATE: 20150602 DATE AS OF CHANGE: 20150602 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NOVAMEX ENERGY INC. CENTRAL INDEX KEY: 0001365748 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MOTION PICTURE & VIDEO TAPE PRODUCTION [7812] IRS NUMBER: 204952339 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1610 WOODSTEAD COURT STREET 2: SUITE 330 CITY: THE WOODLANDS STATE: TX ZIP: 77380 BUSINESS PHONE: (844) 266-8263 MAIL ADDRESS: STREET 1: 1610 WOODSTEAD COURT STREET 2: SUITE 330 CITY: THE WOODLANDS STATE: TX ZIP: 77380 FORMER COMPANY: FORMER CONFORMED NAME: NOVAMEX ENERGY, INC. DATE OF NAME CHANGE: 20141230 FORMER COMPANY: FORMER CONFORMED NAME: NOGAL ENERGY, INC. DATE OF NAME CHANGE: 20130726 FORMER COMPANY: FORMER CONFORMED NAME: Blugrass Energy, Inc. DATE OF NAME CHANGE: 20081003 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Payne Jackson CENTRAL INDEX KEY: 0001643486 FILING VALUES: FORM TYPE: 3/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-54035 FILM NUMBER: 15908410 MAIL ADDRESS: STREET 1: C/O NOVAMEX ENERGY INC. STREET 2: 1610 WOODSTEAD COURT, SUITE 330 CITY: THE WOODLANDS STATE: TX ZIP: 77380 3/A 1 primary_doc.xml PRIMARY DOCUMENT X0206 3/A 2015-05-20 2015-06-01 0 0001365748 NOVAMEX ENERGY INC. NGLE 0001643486 Payne Jackson C/O NOVAMEX ENERGY INC. 1610 WOODSTEAD COURT, SUITE 330 THE WOODLANDS TX 77380 1 1 1 0 President, CEO, & CFO Series A Preferred Stock, par value $0.001 per share 0 I See footnotes Common Stock, par value $0.001 per share 0 I See footnotes As a result of the Voting Agreement, dated May 20, 2015, by and among Novamex Energy Inc. ("Novamex"), Excellere Capital Group LLC ("Excellere"), and Gordon Payne, Jackson Payne, and Coleman Payne, Jackson Payne may be deemed to be the beneficial owner of (a) 3,500,034 shares of Series A Preferred Stock of Novamex held by Gordon Payne, (b) 3,499,983 shares of Series A Preferred Stock of Novamex held by Coleman Payne, and (c) 15,000,000 shares of Common Stock of Novamex held by Excellere, because Jackson Payne shares voting power over such shares pursuant to the Voting Agreement. Jackson Payne does not, however, have a pecuniary interest in such shares pursuant to Rule 16a-1(a)(2) of the Securities Exchange Act of 1934. This filing shall not be deemed an admission that Jackson Payne is, for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, the beneficial owner of any equity securities covered by this statement. This Form 3/A includes a copy of the power of attorney for Mr. Jackson Payne. Also, this Form 3/A amends and restates the indirect holdings beneficially held by Mr. Payne as provided in Table I on June 1, 2015. The prior indirect holdings in Table I were overstated as a result of administrative error. Jackson Payne, by Jason Nelson, Attorney in Fact 2015-06-02 EX-24 2 jpaynepoa.txt LIMITED POWER OF ATTORNEY FOR SECTION 13 AND SECTION 16 REPORTING OBLIGATIONS Know all by these presents that the undersigned hereby makes, constitutes, and appoints Kenneth S. Witt and Jason C. Nelson of Burleson LLP the undersigned's true and lawful attorneys-in-fact for the purposes hereinafter set forth, effective as of the date set forth below. References in this limited power of attorney to my "attorney-in-fact" are to each of the persons named above and to the person or persons substituted hereunder pursuant to the power of substitution granted herein. I hereby grant to my attorney-in-fact, for me and in my name, place, and stead, the power: 1. To execute for and on behalf of the undersigned, in the undersigned's capacity as an officer, director, and/or stockholder of NOVAMEX ENERGY, INC. (the "Company"), Schedule 13D and Schedule 13G, and all and any amendments thereto, in accordance with Section 13 of the Securities Exchange Act of 1934, as amended, and the rules and regulations promulgated thereunder (the "Exchange Act"); 2. To execute for and on behalf of the undersigned, in the undersigned's capacity as an officer, director, and/or stockholder of the Company, Form 3, Form 4, and Form 5, and all and any amendments thereto, in accordance with Section 16(a) of the Exchange Act; 3. To do and perform any and all acts for and on behalf of the undersigned that may be necessary or desirable to complete and execute any such Schedule 13D, Schedule 13G, Form 3, Form 4, and Form 5, complete and execute all and any amendments thereto, and timely file such schedule, form, or amendment thereto with the U.S. Securities and Exchange Commission (the "SEC") and any securities exchange or similar authority, including without limitation the filing of a Form ID or any other documents necessary or appropriate to enable the undersigned to file Schedule 13D, Schedule 13G, Form 3, Form 4, and Form 5 electronically with the SEC; 4. To seek or obtain, as the undersigned's representative and on the undersigned's behalf, information on transactions in the Company's securities from any third party, including brokers, employee benefit plan administrators, and trustees, and the undersigned hereby authorizes any such person to release any such information to each of the undersigned's attorneys-in-fact appointed by this limited power of attorney and approves and ratifies any such release of information; and 5. To take any other action in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by or for, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this limited power of attorney shall be in such form and shall contain such information and disclosure as such attorney-in-fact may approve in such attorney-in-fact's discretion. The undersigned hereby grants to such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever required, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this limited power of attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request and on the behalf of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with, or any liability for the failure to comply with, any provision of Section 13 or Section 16 of the Exchange Act. This limited power of attorney shall remain in full force and effect until the undersigned is no longer required to file any of Schedule 13D, Schedule 13G, Form 3, Form 4, or Form 5 with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to each of the foregoing attorneys-in-fact. This limited power of attorney may be filed with the SEC as a confirming statement of the authority granted herein. [SIGNATURE PAGE FOLLOWS.] IN WITNESS WHEREOF, the undersigned has executed this limited power of attorney as of this 20th day of May, 2015. Signed and acknowledged: /s/ Jackson Payne Jackson Payne 4