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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
COMMON STOCK OPTION (RIGHT TO BUY) | $ 0.285 | 01/09/2016 | A | 18,275 (2) | 01/09/2016(2) | 01/08/2021 | COMMON STOCK | 18,275 | $ 0.285 | 56,631 | D | ||||
COMMON STOCK OPTION (RIGHT TO BUY) | $ 0.285 | 01/09/2016 | A | 14,140 (3) | 01/09/2016(3) | 01/08/2026 | COMMON STOCK | 14,140 | $ 0.285 | 70,771 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Tirpak Bradley M 110 GREENE ST., STE 1101 NEW YORK, NY 10012 |
X |
/s/ Bradley Tirpak | 01/20/2016 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Acquired as 50% of Director fees for the first quarter of 2016. |
(2) | On January 9, 2016 Mr. Tirpak was granted an option to purchase 18,275 shares of common stock. The option was granted as payment of 25% his Director fees for the first quarter 2016. The option vested on January 9, 2016 and the term of the option is 5 years. The option grant was approved by the Board of Directors of Applied Minerals Inc. |
(3) | On January 9, 2016 Mr. Tirpak was granted an option to purchase 14,140 shares of common stock. The option was granted as payment of 25% his Director fees for the first quarter 2016. The option vested on January 9, 2016 and the term of the option is 10 years. The option grant was approved by the Board of Directors of Applied Minerals Inc. |