-----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, JR/QmOah2Glgw/bgt3sMXYz4RAHT5dtq2yB/J/NTJ3qpAK8zdFjdy8Y/+Jc4Dn+6 8nBMhMZyke130G1RWTHyvA== 0001179110-03-011360.txt : 20031126 0001179110-03-011360.hdr.sgml : 20031126 20031126120611 ACCESSION NUMBER: 0001179110-03-011360 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031105 FILED AS OF DATE: 20031126 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ARANDJELOVIC ZORAN CENTRAL INDEX KEY: 0001270862 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12401 FILM NUMBER: 031025357 MAIL ADDRESS: STREET 1: 150 JARDIN DRIVE STE. 9 CITY: CONCORD STATE: A6 ZIP: L4K 3P9 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: WITS BASIN PRECIOUS MINERALS INC CENTRAL INDEX KEY: 0000912875 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO & HOME SUPPLY STORES [5531] IRS NUMBER: 841236619 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 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 4 1 edgar.xml FORM 4 - X0201 4 2003-11-05 0 0000912875 WITS BASIN PRECIOUS MINERALS INC AIQT 0001270862 ARANDJELOVIC ZORAN 150 JARDIN DRIVE, SUITE #9 CONCORD A6 L4K 3P9 ONTARIO, CANADA 1 0 0 0 Common Stock, $.01 par value 0 D Common Stock, $.01 par value 200000 I By Capital Z Corp. Director Stock Option .65 2003-11-05 4 A 0 400000 0 A 2008-11-05 Common Stock, $.01 par value 400000 400000 D Warrant .75 2003-10-24 2004-10-24 Common Stock, $.01 par value 100000 100000 I By Capital Z Corp. A corporation of which the Reporting Person is the President and CEO. 200,000 shares vest immediately, 100,000 shares each vest on May 5, 2004 and November 5, 2004. /s/ Zoran Arandjelovic 2003-11-26 -----END PRIVACY-ENHANCED MESSAGE-----