-----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, LYeC0gRGeYlOgKMAx1ziHhKOp5Q1XPMJ0+ORZKK5+zUJRGZGbzWxuXsOb+H9Ee0x Y6bITOVDpCzSk1X/Ptg7yg== 0000950134-04-000971.txt : 20040202 0000950134-04-000971.hdr.sgml : 20040202 20040202121522 ACCESSION NUMBER: 0000950134-04-000971 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20040202 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: WITS BASIN PRECIOUS MINERALS INC CENTRAL INDEX KEY: 0000912875 STANDARD INDUSTRIAL CLASSIFICATION: GOLD & SILVER ORES [1040] IRS NUMBER: 841236619 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-50493 FILM NUMBER: 04558267 BUSINESS ADDRESS: STREET 1: 800 NICOLLET MALL STREET 2: SUITE 2690 CITY: MINNEAPOLIS STATE: MN ZIP: 55402 BUSINESS PHONE: (612)664-0570 MAIL ADDRESS: STREET 1: 800 NICOLLET MALL STREET 2: SUITE 2690 CITY: MINNEAPOLIS STATE: MN ZIP: 55402 FORMER COMPANY: FORMER CONFORMED NAME: ACTIVE IQ TECHNOLOGIES INC DATE OF NAME CHANGE: 20010702 FORMER COMPANY: FORMER CONFORMED NAME: METEOR INDUSTRIES INC DATE OF NAME CHANGE: 19960313 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: MILLS WAYNE WILLIAM CENTRAL INDEX KEY: 0000930294 IRS NUMBER: 474684162 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 5500 WAYZATA BLVD STREET 2: SUITE 29D CITY: PLYMOUTH STATE: MN ZIP: 55441 BUSINESS PHONE: 6125423737 MAIL ADDRESS: STREET 1: 5500 WAYZATA BLVD STREET 2: SUITW 29D CITY: PLYMOUTH STATE: MN ZIP: 55441 SC 13G 1 c82377sc13g.txt SCHEDULE 13G SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 SCHEDULE 13G (Rule 13d-102) INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13d-1(b)(c), AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13d-2(b) (Amendment No.____________)(1) WITS BASIN PRECIOUS MINERALS INC. - -------------------------------------------------------------------------------- (Name of Issuer) COMMON STOCK, $.01 PAR VALUE - -------------------------------------------------------------------------------- (Title of Class of Securities) 977427 10 3 - -------------------------------------------------------------------------------- (CUSIP Number) DECEMBER 31, 2003 - -------------------------------------------------------------------------------- (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [ ] Rule 13d-1(b) [X] Rule 13d-(c) [ ] Rule 13d-1(d) - ---------- (1) The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). CUSIP No. 977427 10 3 13G Page 2 of 6 Pages - -------------------------------------------------------------------------------- 1. NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) Wayne W. Mills - -------------------------------------------------------------------------------- 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [_] (b) [_] - -------------------------------------------------------------------------------- 3. SEC USE ONLY - ---------------------------------------------------------------------------- 4. CITIZENSHIP OR PLACE OF ORGANIZATION USA - -------------------------------------------------------------------------------- NUMBER OF 5. SOLE VOTING POWER SHARES 2,471,400 ----------------------------------------------------------------- BENEFICIALLY 6. SHARED VOTING POWER OWNED BY 0 ----------------------------------------------------------------- EACH 7. SOLE DISPOSITIVE POWER REPORTING 2,471,400 ----------------------------------------------------------------- PERSON 8. SHARED DISPOSITIVE POWER WITH 0 - -------------------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 2,471,400 SHARES (INCLUDES 30,000 SHARES OWNED BY SEA SPRAY, LTD. (A FOREIGN CORPORATION OF WHICH THE REPORTING PERSON IS THE SOLE SHAREHOLDER) AND 271,000 SHARES OWNED BY BLAKE CAPITAL, LLC (A LIMITED LIABILITY COMPANY OF WHICH THE REPORTING PERSON IS THE SOLE SHAREHOLDER). ALSO INCLUDES WARRANTS TO PURCHASE AN AGGREGATE OF 773,000 SHARES OF COMMON STOCK (373,000 OF WHICH ARE OWNED BY BLAKE CAPITAL, LLC). - -------------------------------------------------------------------------------- 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [x] (see Exhibit A) - -------------------------------------------------------------------------------- 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 8.1% - -------------------------------------------------------------------------------- 12. TYPE OF REPORTING PERSON* IN - -------------------------------------------------------------------------------- CUSIP No. 977427 10 3 13G Page 3 of 6 Pages - -------------------------------------------------------------------------------- Item 1(a). Name of Issuer: WITS BASIN PRECIOUS MINERALS, INC. - -------------------------------------------------------------------------------- Item 1(b). Address of Issuer's Principal Executive Offices: 800 NICOLLET MALL, SUITE 2690 MINNEAPOLIS, MINNESOTA 55402 - -------------------------------------------------------------------------------- Item 2(a). Name of Person Filing: WAYNE W. MILLS - -------------------------------------------------------------------------------- Item 2(b). Address of Principal Business Office, or if None, Residence: 800 NICOLLET MALL, SUITE 2690 MINNEAPOLIS, MINNESOTA 55402 - -------------------------------------------------------------------------------- Item 2(c). Citizenship: USA - -------------------------------------------------------------------------------- Item 2(d). Title of Class of Securities: COMMON STOCK, $.01 PAR VALUE - -------------------------------------------------------------------------------- Item 2(e). CUSIP Number: 977427 10 3 - -------------------------------------------------------------------------------- Item 3. If This Statement is Filed Pursuant to Rule 13d-1(b), or 13d-2(b) or (c), Check Whether the Person Filing is a: (a) [_] Broker or dealer registered under Section 15 of the Exchange Act. (b) [_] Bank as defined in Section 3(a)(6) of the Exchange Act. (c) [_] Insurance company as defined in Section 3(a)(19) of the Exchange Act. (d) [_] Investment company registered under Section 8 of the Investment Company Act. (e) [_] An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E); (f) [_] An employee benefit plan or endowment fund in accordance with Rule 13d-1(b)(1)(ii)(F); (g) [_] A parent holding company or control person in accordance with Rule 13d-1(b)(1)(ii)(G); (h) [_] A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act; (i) [_] A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act; (j) [_] Group, in accordance with Rule 13d-1(b)(1)(ii)(J). CUSIP No. 977427 10 3 13G Page 4 of 6 Pages Item 4. Ownership. Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1. (a) Amount beneficially owned: 2,471,400 SHARES (INCLUDES 30,000 SHARES OWNED BY SEA SPRAY, LTD. (A FOREIGN CORPORATION OF WHICH THE REPORTING PERSON IS THE SOLE SHAREHOLDER) AND 271,000 SHARES OWNED BY BLAKE CAPITAL, LLC (A LIMITED LIABILITY COMPANY OF WHICH THE REPORTING PERSON IS THE SOLE SHAREHOLDER). ALSO INCLUDES WARRANTS TO PURCHASE AN AGGREGATE OF 773,000 SHARES OF COMMON STOCK (373,000 OF WHICH ARE OWNED BY BLAKE CAPITAL, LLC). - -------------------------------------------------------------------------------- (b) Percent of class: 8.1% - -------------------------------------------------------------------------------- (c) Number of shares as to which such person has: (i) Sole power to vote or to direct the vote: 2,471,400 (ii) Shared power to vote or to direct the vote: 0 (iii) Sole power to dispose or to direct the disposition of: 2,471,400 (iv) Shared power to dispose or to direct the disposition of: 0 - -------------------------------------------------------------------------------- Item 5. Ownership of Five Percent or Less of a Class. N/A - -------------------------------------------------------------------------------- Item 6. Ownership of More Than Five Percent on Behalf of Another Person. N/A - -------------------------------------------------------------------------------- Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company or Control Person. N/A - -------------------------------------------------------------------------------- Item 8. Identification and Classification of Members of the Group. - -------------------------------------------------------------------------------- Item 9. Notice of Dissolution of Group. - -------------------------------------------------------------------------------- Item 10. Certifications. (b) The following certification shall be included if the statement is filed pursuant to Rule 13d-1(c): "By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having such purpose or effect." SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. Dated: February 2, 2004 /s/ Wayne W. Mills -------------------------------- Wayne W. Mills Exhibit A To Form 13G (Individual) The filing of this report shall not be construed as an admission by the person identified in Item 2(a) that, for the purpose of Section 13(d) or 13(g) of the Securities Exchange Act, he is the "beneficial owner" of any equity securities listed below; and such person expressly disclaims that he is part of a "group."
Record Owner's Relationship Record Owner's Number to Reporting Person Type of Ownership of shares - --------------------------- ----------------- --------- Shares by spouse Indirect 150,000 shares Warrants held by trust for minor child (the reporting person is not a trustee of such trust) Indirect 250,000 shares
These shares are not reported in Item 4(a) and are noted here for information only. -----END PRIVACY-ENHANCED MESSAGE-----