0001096906-17-000694.txt : 20171030 0001096906-17-000694.hdr.sgml : 20171030 20171030174652 ACCESSION NUMBER: 0001096906-17-000694 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170829 FILED AS OF DATE: 20171030 DATE AS OF CHANGE: 20171030 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BRUDERMAN THOMAS HENRY JR CENTRAL INDEX KEY: 0001709289 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-53979 FILM NUMBER: 171163513 MAIL ADDRESS: STREET 1: 91 CALVARY ROAD CITY: WESTPORT STATE: CT ZIP: 06880 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 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2017-08-29 0 0001456212 BlackRidge Technology International, Inc. BRTI 0001709289 BRUDERMAN THOMAS HENRY JR 10615 PROFESSIONAL CIRCLE, SUITE 201 RENO NV 89521 1 0 0 0 Common Stock 2017-08-29 4 A 0 23333 0.5 A 90000 I NA Common Stock 2017-09-11 4 A 0 32222 0.6 A 32222 I NA Warrant 0.6 2017-08-29 4 A 0 23333 0 A 2017-08-29 2022-08-29 cs 23333 23333 I NA Represents the portion of the securities owned by Mr. Bruderman based on Mr. Bruderman's pecuniary interest in Mag Ventures, LLC. On September 11, 2017, the Company issued restricted common stock to its employees and affiliates in lieu of cash payment of deferred wages and compensation at $0.60 per restricted common share. The restricted common stock is restricted from sale for ten months from the date of issue. /s/ Thomas Bruderman 2017-10-30