0001567619-20-002409.txt : 20200207 0001567619-20-002409.hdr.sgml : 20200207 20200207161046 ACCESSION NUMBER: 0001567619-20-002409 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191231 FILED AS OF DATE: 20200207 DATE AS OF CHANGE: 20200207 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jornayvaz Robert P III CENTRAL INDEX KEY: 0001432504 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34025 FILM NUMBER: 20587525 MAIL ADDRESS: STREET 1: 1001 17TH STREET, SUITE 1050 CITY: DENVER STATE: CO ZIP: 80202 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Intrepid Potash, Inc. CENTRAL INDEX KEY: 0001421461 STANDARD INDUSTRIAL CLASSIFICATION: MINING, QUARRYING OF NONMETALLIC MINERALS (NO FUELS) [1400] IRS NUMBER: 261501877 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1001 17TH STREET STREET 2: SUITE 1050 CITY: DENVER STATE: CO ZIP: 80202 BUSINESS PHONE: 303-296-3006 MAIL ADDRESS: STREET 1: 1001 17TH STREET STREET 2: SUITE 1050 CITY: DENVER STATE: CO ZIP: 80202 5 1 doc1.xml FORM 5 X0306 5 2019-12-31 0 0 0 0001421461 Intrepid Potash, Inc. IPI 0001432504 Jornayvaz Robert P III C/O INTREPID POTASH, INC. 1001 17TH STREET, SUITE 1050 DENVER CO 80202 1 1 1 0 Exec. Chair, President & CEO Common Stock 2019-08-29 5 G 0 1100000 0 D 17209236 I By Intrepid Production Corporation Common Stock 2138144 D Mr. Jornayvaz is the sole stockholder, sole director, and President of Intrepid Production Corporation. /s/ Jennifer A. D'Alessandro, as attorney-in-fact 2020-02-07