0001179110-19-010467.txt : 20190918 0001179110-19-010467.hdr.sgml : 20190918 20190918172910 ACCESSION NUMBER: 0001179110-19-010467 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171231 FILED AS OF DATE: 20190918 DATE AS OF CHANGE: 20190918 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DeCubellis Kenneth CENTRAL INDEX KEY: 0001534148 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38226 FILM NUMBER: 191100554 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: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38226 FILM NUMBER: 191100555 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 5 1 edgar.xml FORM 5 - X0306 5 2017-12-31 0 0 1 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 2017-10-18 4 J 0 L 45000 10.00 A 3895000 I By Black Ridge Oil & Gas, Inc. Warrants to Purchase Common Stock 11.50 2017-10-18 4 J 0 L 45000 A 2017-11-18 2022-10-18 Common Stock 45000 45000 D Right to purchase common stock 2017-10-18 4 J 0 L 4500 A 2019-08-09 2019-08-19 Common Stock 4500 4500 I Held by Black Ridge Oil & Gas, Inc. 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. The reporting person purchased 45,000 private placement units, including 45,000 shares and certain rights and warrants, at a price of $10.00 per unit. /s/ Kenneth DeCubellis 2019-09-17 /s/ Kenneth DeCubellis, Chairman and CEO 2019-09-17