-----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, CtIU0NUDfi1OFAwnlQ70TNiqKar1Er7Rji7OZK4/10ImFxTRNHMXZFv1YNATv9vu +ZK5PUAqjG9TbOQ2gcaeYA== 0001179110-09-010869.txt : 20090715 0001179110-09-010869.hdr.sgml : 20090715 20090715133152 ACCESSION NUMBER: 0001179110-09-010869 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090706 FILED AS OF DATE: 20090715 DATE AS OF CHANGE: 20090715 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WHITE H VANCE CENTRAL INDEX KEY: 0001252727 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12401 FILM NUMBER: 09945541 MAIL ADDRESS: STREET 1: 404-347 BAY STREET CITY: TORONTO STATE: A6 ZIP: 00000 ISSUER: 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 BUSINESS ADDRESS: STREET 1: 80 SOUTH 8TH STREET STREET 2: SUITE 900 CITY: MINNEAPOLIS STATE: MN ZIP: 55402 BUSINESS PHONE: (612)349-5277 MAIL ADDRESS: STREET 1: 80 SOUTH 8TH STREET STREET 2: SUITE 900 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 - X0303 4 2009-07-06 1 0000912875 WITS BASIN PRECIOUS MINERALS INC WITM 0001252727 WHITE H VANCE 2500 - 120 ADELAIDE ST. W TORONTO A6 M5H 1T1 ONTARIO, CANADA 1 0 0 0 Common Stock, $.01 par value 3242500 I By Hawk Uranium USA, Inc. Common Stock, $.01 par value 2009-07-06 4 J 0 3218878 A 3458878 I By Hawk Uranium Inc. Stock Option .56 2004-07-09 2013-07-09 Common Stock, $.01 par value 1000000 1000000 D Stock Options .26 2015-05-02 Common Stock, $.01 par value 250000 250000 D Employee Stock Option 0.15 2015-10-20 Common Stock, $.01 par value 200000 200000 D Shares issued in connection with payment in lieu of cash payment of fees due under a management services agreement with Hawk Uranium Inc. A corporation of which the reporting person is an officer and director. The Reporting Person disclaims beneficial ownership of such shares. Immediately exercisable. Pursuant to Rule 16b-3, under the 1999 Stock Option Plan. /s/ H Vance White 2009-07-09 -----END PRIVACY-ENHANCED MESSAGE-----