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