0001014108-16-000525.txt : 20161028
0001014108-16-000525.hdr.sgml : 20161028
20161028160609
ACCESSION NUMBER: 0001014108-16-000525
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20161026
FILED AS OF DATE: 20161028
DATE AS OF CHANGE: 20161028
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Black Ridge Oil & Gas, Inc.
CENTRAL INDEX KEY: 0001490161
STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311]
IRS NUMBER: 272345075
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
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 COMPANY:
FORMER CONFORMED NAME: ante5, Inc.
DATE OF NAME CHANGE: 20100422
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BERMAN LYLE
CENTRAL INDEX KEY: 0000903291
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-53952
FILM NUMBER: 161958649
MAIL ADDRESS:
STREET 1: 130 CHESHIRE LANE
CITY: MINNETONKA
STATE: MN
ZIP: 55350
3
1
primary_doc.xml
PRIMARY DOCUMENT
X0206
3
2016-10-26
0
0001490161
Black Ridge Oil & Gas, Inc.
ANFC
0000903291
BERMAN LYLE
130 CHESHIRE LANE
MINNETONKA
MN
55350
1
0
1
0
Common Stock
2555853
D
Common Stock
3717313
I
Held in trust for Mr. Berman's children
Stock Options (right to buy)
0.29
2007-05-30
2017-05-29
Common Stock
4000
D
Stock Options (right to buy)
0.08
2008-05-22
2018-05-21
Common Stock
4000
D
S
0.05
2009-05-20
2019-05-19
Common Stock
4000
D
/s/ James A. Moe (power of attorney)
2016-10-28
EX-24
2
lbpoa.txt
LYLE BERMAN POWER OF ATTORNEY
POWER OF ATTORNEY
**
Know all by these presents, that the undersigned hereby constitutes and
appoints each of Kenneth DeCubellis and James Moe, signing individually, the
undersigned's true and lawful attorney-in-fact to:
(1) execute for and on behalf of the undersigned, in the undersigned's
capacity as an officer and/or director of Black Ridge Oil & Gas, Inc.
the "Company"), Forms 3, 4, and 5 in accordance with Section 16(a) of the
Securities Exchange Act of 1934 and the rules thereunder;
(2) do and perform any and all acts for and on behalf of the undersigned
which may be necessary or desirable to complete and execute any such Form 3, 4,
or 5 (including amendments thereto) and timely file such form with the United
States Securities and Exchange Commission and any stock exchange or similar
authority; and
(3) take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be or benefit to,
in the best interest of, or legally required by, the undersigned, it being
understood that the documents executed by such attorney-in-fact on behalf of
the undersigned pursuant to this Power of Attorney shall be in such form and
shall contain such terms and conditions as such attorney-in-fact may approve
in such attorney-in-fact's discretion.
The undersigned hereby grants to each such attorney-in-fact full power
and authority to do and perform any and every act and thing whatsoever
requisite, necessary, or proper to be done in the exercise of any of the rights
and powers herein granted, as fully to all intents and purposes as the
undersigned might or could do if personally present, with full power of
substitution or revocation, hereby ratifying and confirming all that such
attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall
lawfully do or cause to be done by virtue of this power of attorney and the
rights and powers herein granted. The undersigned acknowledges that the
foregoing attorneys-in-fact, in serving in such capacity at the request of the
undersigned, are not assuming, nor is the Company assuming, any of the
undersigned's responsibilities to comply with Section 16 of the Securities
Exchange Act of 1934.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4, and 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to the
foregoing attorneys-in-fact.
[Remainder of page is blank]
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to
be executed as of this 27 day of October, 2016.
Lyle Berman
Print Name