0001096906-11-000995.txt : 20110518
0001096906-11-000995.hdr.sgml : 20110518
20110518170113
ACCESSION NUMBER: 0001096906-11-000995
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110517
FILED AS OF DATE: 20110518
DATE AS OF CHANGE: 20110518
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Klein Thomas Joseph
CENTRAL INDEX KEY: 0001454428
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-22905
FILM NUMBER: 11855480
MAIL ADDRESS:
STREET 1: C/O GOLDEN PHOENIX MINERALS, INC.
STREET 2: 1675 EAST PRATER WAY, SUITE 102
CITY: SPARKS
STATE: NV
ZIP: 89434
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: GOLDEN PHOENIX MINERALS INC
CENTRAL INDEX KEY: 0001042784
STANDARD INDUSTRIAL CLASSIFICATION: METAL MINING [1000]
IRS NUMBER: 411878178
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1675 E. PRATER WAY,
STREET 2: SUITE 102
CITY: SPARKS
STATE: NV
ZIP: 89434
BUSINESS PHONE: 7758534919
MAIL ADDRESS:
STREET 1: 1675 E. PRATER WAY,
STREET 2: SUITE 102
CITY: SPARKS
STATE: NV
ZIP: 89434
FORMER COMPANY:
FORMER CONFORMED NAME: GOLDEN PHOENIX MINERALS INC /MN/
DATE OF NAME CHANGE: 19991026
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0303
4
2011-05-17
0
0001042784
GOLDEN PHOENIX MINERALS INC
gpxm
0001454428
Klein Thomas Joseph
C/O GOLDEN PHOENIX MINERALS, INC.
1675 EAST PRATER WAY, SUITE 102
SPARKS
NV
89434
1
1
0
0
Chief Executive Officer
Common Stock
2011-05-17
4
P
0
100000
0.1
A
4087118
D
Common Stock
2011-05-18
4
P
0
50000
0.1215
A
4137118
D
/s/ Thomas Joseph Klein
2011-05-18