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