-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, GseEXk2hU+C+ByMeH1WRwtkHkpfQoEEHyjjVcQKNgzZpVcaEEMCFxGo7QXuEL2l7 hm4yPGqgfl4SRzx+LO+WwQ== 0001013762-09-001122.txt : 20090617 0001013762-09-001122.hdr.sgml : 20090617 20090617204100 ACCESSION NUMBER: 0001013762-09-001122 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090604 FILED AS OF DATE: 20090617 DATE AS OF CHANGE: 20090617 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KHAZAK DAVID CENTRAL INDEX KEY: 0001460622 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-15260 FILM NUMBER: 09897658 MAIL ADDRESS: STREET 1: C/O KHAZAK CONSULTING CORP STREET 2: 7368 YONGE STREET SUITE 210 CITY: THORNHILL STATE: A6 ZIP: L4J8H9 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ELEMENT 21 GOLF CO CENTRAL INDEX KEY: 0000797662 STANDARD INDUSTRIAL CLASSIFICATION: [3949] IRS NUMBER: 880218411 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 200 QUEENS QUAY EAST STREET 2: UNIT 1 CITY: TORONTO, STATE: A6 ZIP: M5A 4K9 BUSINESS PHONE: 416-362-2121 MAIL ADDRESS: STREET 1: 200 QUEENS QUAY EAST STREET 2: UNIT 1 CITY: TORONTO, STATE: A6 ZIP: M5A 4K9 FORMER COMPANY: FORMER CONFORMED NAME: BRL HOLDINGS INC DATE OF NAME CHANGE: 20011212 FORMER COMPANY: FORMER CONFORMED NAME: BIORELEASE CORP DATE OF NAME CHANGE: 19930809 FORMER COMPANY: FORMER CONFORMED NAME: OIA INC DATE OF NAME CHANGE: 19920703 4 1 jun172009form4khazak_ex.xml X0303 4 2009-06-04 0 0000797662 ELEMENT 21 GOLF CO ETGF 0001460622 KHAZAK DAVID C/O ELEMENT 21 GOLF 200 QUEENS QUAY EAST, UNIT 1 TORONTO A6 M5A4K9 ONTARIO, CANADA 0 1 0 0 CFO Common Stock 2009-06-04 4 S 0 50000 0.36 D 50000 D /s/ David Khazak 2009-06-12 -----END PRIVACY-ENHANCED MESSAGE-----