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