0001096906-17-000697.txt : 20171030
0001096906-17-000697.hdr.sgml : 20171030
20171030182156
ACCESSION NUMBER: 0001096906-17-000697
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170829
FILED AS OF DATE: 20171030
DATE AS OF CHANGE: 20171030
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KOSOWSKY J ALLEN
CENTRAL INDEX KEY: 0000925327
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-53979
FILM NUMBER: 171163606
MAIL ADDRESS:
STREET 1: C/O THOR INDUSTRIES, INC.
STREET 2: 419 WEST PIKE STREET
CITY: JACKSON CENTER
STATE: OH
ZIP: 45334-0629
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: BlackRidge Technology International, Inc.
CENTRAL INDEX KEY: 0001456212
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 000000000
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 10615 PROFESSIONAL CIRCLE, SUITE 201
CITY: RENO
STATE: NV
ZIP: 89521
BUSINESS PHONE: 855-807-8776
MAIL ADDRESS:
STREET 1: 10615 PROFESSIONAL CIRCLE, SUITE 201
CITY: RENO
STATE: NV
ZIP: 89521
FORMER COMPANY:
FORMER CONFORMED NAME: GROTE MOLEN, INC.
DATE OF NAME CHANGE: 20170605
FORMER COMPANY:
FORMER CONFORMED NAME: GROTE MOLEN INC
DATE OF NAME CHANGE: 20090212
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2017-08-29
0
0001456212
BlackRidge Technology International, Inc.
BRTI
0000925327
KOSOWSKY J ALLEN
10615 PROFESSIONAL CIRCLE, SUITE 201
RENO
NV
89521
1
0
0
0
Common Stock
2017-08-29
4
A
0
44445
0.45
A
127778
D
Common Stock
2017-09-11
4
A
0
198334
0.6
A
198334
D
Warrant
0.6
2017-08-29
4
A
0
0
0
A
2017-08-29
2022-08-29
cs
44445
44445
D
On September 11, 2017, the Company issued restricted common stock to its employees and affiliates in lieu of cash payment of deferred wages and compensation at $0.60 per restricted common share. The restricted common stock is restricted from sale for ten months from the date of issue.
/s/ J. Allen Kosowsky
2017-10-30