SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Payne Jackson

(Last) (First) (Middle)
C/O NOVAMEX ENERGY INC.
1610 WOODSTEAD COURT, SUITE 330

(Street)
THE WOODLANDS TX 77380

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
05/20/2015
3. Issuer Name and Ticker or Trading Symbol
NOVAMEX ENERGY INC. [ NGLE ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
President, CEO, & CFO
5. If Amendment, Date of Original Filed (Month/Day/Year)
06/01/2015
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Series A Preferred Stock, par value $0.001 per share 0 I See footnotes(1)(2)
Common Stock, par value $0.001 per share 0 I See footnotes(1)(2)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. 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.
2. 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.
Remarks:
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 06/02/2015
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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