0001493152-15-004742.txt : 20151008 0001493152-15-004742.hdr.sgml : 20151008 20151008185540 ACCESSION NUMBER: 0001493152-15-004742 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151002 FILED AS OF DATE: 20151008 DATE AS OF CHANGE: 20151008 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: INCEPTION MINING INC. CENTRAL INDEX KEY: 0001416090 STANDARD INDUSTRIAL CLASSIFICATION: GOLD & SILVER ORES [1040] IRS NUMBER: 352302128 STATE OF INCORPORATION: NV FISCAL YEAR END: 0731 BUSINESS ADDRESS: STREET 1: 10775 DOUBLE R BOULEVARD CITY: RENO STATE: NV ZIP: 89521 BUSINESS PHONE: 801-312-8113 MAIL ADDRESS: STREET 1: 10775 DOUBLE R BOULEVARD CITY: RENO STATE: NV ZIP: 89521 FORMER COMPANY: FORMER CONFORMED NAME: GOLD AMERICAN MINING CORP. DATE OF NAME CHANGE: 20100628 FORMER COMPANY: FORMER CONFORMED NAME: SILVER AMERICA, INC. DATE OF NAME CHANGE: 20100310 FORMER COMPANY: FORMER CONFORMED NAME: GOLF ALLIANCE CORP DATE OF NAME CHANGE: 20080225 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CLUFF WHITNEY O CENTRAL INDEX KEY: 0001471006 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55219 FILM NUMBER: 151151740 MAIL ADDRESS: STREET 1: 6550 SOUTH MILLROCK DRIVE STREET 2: SUITE 200 CITY: SALT LAKE CITY STATE: UT ZIP: 84121 4 1 form4.xml X0306 4 2015-10-02 0 0001416090 INCEPTION MINING INC. IMII 0001471006 CLUFF WHITNEY O 5320 SOUTH 900 EAST #260 SALT LAKE CITY UT 84107 1 1 0 0 CFO Common Stock 2015-10-02 4 D 0 1000000 0.00 D 0 D Common Stock 2015-10-02 4 A 0 1375000 0.31 A 1375000 D Shares were surrendered to the treasury for cancellation as a condition of the Agreement and Plan of Merger with Clavo Rico, LTD. /s/ Whit Cluff 2015-10-08