0001096906-17-000667.txt : 20171016
0001096906-17-000667.hdr.sgml : 20171016
20171016171403
ACCESSION NUMBER: 0001096906-17-000667
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170524
FILED AS OF DATE: 20171016
DATE AS OF CHANGE: 20171016
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Zahm Robert R
CENTRAL INDEX KEY: 0001700174
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-53979
FILM NUMBER: 171139349
MAIL ADDRESS:
STREET 1: 7 RIDGEWOOD DRIVE
CITY: RYE
STATE: NY
ZIP: 10580
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: BlackRidge Technology International, Inc.
CENTRAL INDEX KEY: 0001456212
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 000000000
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 10615 PROFESSIONAL CIRCLE, SUITE 201
CITY: RENO
STATE: NV
ZIP: 89521
BUSINESS PHONE: 855-807-8776
MAIL ADDRESS:
STREET 1: 10615 PROFESSIONAL CIRCLE, SUITE 201
CITY: RENO
STATE: NV
ZIP: 89521
FORMER COMPANY:
FORMER CONFORMED NAME: GROTE MOLEN, INC.
DATE OF NAME CHANGE: 20170605
FORMER COMPANY:
FORMER CONFORMED NAME: GROTE MOLEN INC
DATE OF NAME CHANGE: 20090212
3
1
primary_doc.xml
PRIMARY DOCUMENT
X0206
3
2017-05-24
0
0001456212
BlackRidge Technology International, Inc.
BRTI
0001700174
Zahm Robert R
10615 PROFESSIONAL CIRCLE, SUITE 201
RENO
NV
89521
1
0
1
0
Series A Preferred Stock
2017-02-22
Common Stock
4855540
D
Warrants
0.6
2017-02-02
2022-02-02
Common Stock
166667
D
The Series A Preferred Stock may be converted into common stock at the option of the holder at any time without consideration. It shall be automatically converted into common stock upon the occurrence of certain events as provided in its Certificate of Designation.
By: /s/ Robert Zahm
2017-10-16