0001179110-19-009752.txt : 20190821
0001179110-19-009752.hdr.sgml : 20190821
20190821163506
ACCESSION NUMBER: 0001179110-19-009752
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170509
FILED AS OF DATE: 20190821
DATE AS OF CHANGE: 20190821
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DeCubellis Kenneth
CENTRAL INDEX KEY: 0001534148
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38226
FILM NUMBER: 191043390
MAIL ADDRESS:
STREET 1: 10275 WAYZATA BOULEVARD, SUITE 310
CITY: MINNETONKA
STATE: MN
ZIP: 55305
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Black Ridge Oil & Gas, Inc.
CENTRAL INDEX KEY: 0001490161
STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311]
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38226
FILM NUMBER: 191043391
BUSINESS ADDRESS:
STREET 1: 110 NORTH 5TH STREET
STREET 2: SUITE 410
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55403
BUSINESS PHONE: 952-426-1241
MAIL ADDRESS:
STREET 1: 110 NORTH 5TH STREET
STREET 2: SUITE 410
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55403
FORMER NAME:
FORMER CONFORMED NAME: ante5, Inc.
DATE OF NAME CHANGE: 20100422
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Allied Esports Entertainment, Inc.
CENTRAL INDEX KEY: 0001708341
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-AMUSEMENT & RECREATION SERVICES [7900]
IRS NUMBER: 821659427
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 17877 VON KARMAN AVENUE, SUITE 300
CITY: IRVINE
STATE: CA
ZIP: 92614
BUSINESS PHONE: (949) 225-2600
MAIL ADDRESS:
STREET 1: 17877 VON KARMAN AVENUE, SUITE 300
CITY: IRVINE
STATE: CA
ZIP: 92614
FORMER COMPANY:
FORMER CONFORMED NAME: Black Ridge Acquisition Corp.
DATE OF NAME CHANGE: 20170602
4
1
edgar.xml
FORM 4 -
X0306
4
2017-05-09
0
0001708341
Allied Esports Entertainment, Inc.
AESE
0001534148
DeCubellis Kenneth
17877 VON KARMAN AVE
SUITE 300
IRVINE
CA
92614
1
1
1
0
Chief Financial Officer
0001490161
Black Ridge Oil & Gas, Inc.
110 NORTH 5TH STREET, SUITE 410
MINNEAPOLIS
MN
55403
0
0
1
0
Common Stock
2017-05-09
4
A
0
3450000
0
A
3450000
I
by Black Ridge Oil & Gas, Inc.
Common Stock
2017-10-10
4
A
0
400000
0
A
3850000
I
by Black Ridge Oil & Gas, Inc.
Common Stock
2017-10-18
4
A
0
45000
0
A
3895000
I
by Black Ridge Oil & Gas, Inc.
Common Stock
2019-08-09
4
A
0
44500
0
A
3939500
I
by Black Ridge Oil & Gas, Inc.
Common Stock
2019-08-09
4
A
0
66000
9.09
A
4005500
I
by Black Ridge Oil & Gas, Inc.
Common Stock
2019-08-09
4
D
0
600000
0
D
3405500
I
by Black Ridge Oil & Gas, Inc.
Common Stock
2019-08-09
4
D
0
720000
0
D
2685500
I
by Black Ridge Oil & Gas, Inc.
On October 4, 2017, the Issuer effected a stock dividend of 0.2 shares for each share outstanding, resulting in the reporting person receiving an additional 575,000 shares, for an aggregate total ownership of 3,450,000 shares.
Mr. DeCubellis, as Chairman and Chief Executive Officer of Black Ridge Oil & Gas, Inc. exercises voting and dispositive power over such shares. Mr. DeCubellis disclaims beneficial ownership of such shares except to the extent of his ultimate pecuniary interest.
400,000 shares of common stock were issued by the issuer as a result of the initial public offering on October 10,2017.
44,500 shares of common stock were issued as a result of the conversion of 44,500 rights to receive common stock as a result of the merger of AEM with the issuer on August 9, 2019. The closing price of the shares on August 9, 2019 was $4.42.
60,000 units were issued as conversion of a convertible promissory note issued by Black Ridge Oil & Gas, Inc. ("BRAC") to issuer, which had an outstanding principal amount of $600,000 and accrued no interest, at a rate of $10 per unit. Each unit was entitled to one shares of common stock, one warrant to purchases common stock, and a right to one-tenth of a share of common stock upon the consummation of a business combination by the issuer. The units were automatically converted as a result of the merger of AEM with the issuer on August 9, 2019 into 66,000 shares of common stock and 60,000 warrants.
600,000 shares were transferred to Primo Vital Limited in connection with the merger of AEM with the issuer on August 9, 2019.
720,000 shares were transferred to subscribers in the issuer's private placement that closed on August 9, 2019.
45,000 shares of common stock were issued by the issuer, subject to the underwriter's over-allotment option, on October 18, 2017.
/s/ Kenneth DeCubellis
2019-08-19
/s/ James Moe, as CFO of Black Ridge Oil & Gas, Inc.
2019-08-19