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