0001521536-12-001029.txt : 20121023
0001521536-12-001029.hdr.sgml : 20121023
20121023165055
ACCESSION NUMBER: 0001521536-12-001029
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121022
FILED AS OF DATE: 20121023
DATE AS OF CHANGE: 20121023
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Brauser Michael
CENTRAL INDEX KEY: 0001336508
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54751
FILM NUMBER: 121156869
MAIL ADDRESS:
STREET 1: 4400 BISCAYNE BLVD.
STREET 2: SUITE 850
CITY: MIAMI
STATE: FL
ZIP: 33137
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: PASSPORT POTASH INC
CENTRAL INDEX KEY: 0001508128
STANDARD INDUSTRIAL CLASSIFICATION: MINING, QUARRYING OF NONMETALLIC MINERALS (NO FUELS) [1400]
IRS NUMBER: 000000000
STATE OF INCORPORATION: A8
FISCAL YEAR END: 0228
BUSINESS ADDRESS:
STREET 1: SUITE 608, 1199 WEST PENDER STREET
CITY: VANCOUVER
STATE: A1
ZIP: V6E 2R1
BUSINESS PHONE: (604) 687-0300
MAIL ADDRESS:
STREET 1: SUITE 608, 1199 WEST PENDER STREET
CITY: VANCOUVER
STATE: A1
ZIP: V6E 2R1
4
1
q1100794_brauser4potash.xml
OWNERSHIP DOCUMENT
X0306
4
2012-10-22
0
0001508128
PASSPORT POTASH INC
PPI
0001336508
Brauser Michael
4400 BISCAYNE BOULEVARD
MIAMI
FL
33137
0
0
1
0
Common Stock, without par value (See Note)
2012-10-22
4
P
0
92500
.21
A
92500
D
Common Stock, without par value
10214097
D
Common Stock, without par value
4205599
I
See Note
Common Stock, without par value
138000
I
See Note
Jointly held with wife.
Held by Birchtree Capital, LLC. Mr. Brauser is the Manager of Birchtree Capital, LLC and in such capacity holds voting and dispositive power over shrares held by Birchtree Capital, LLC.
Held by Grander Holdings, Inc. 401K Profit Sharing Plan. Mr. Brauser holds voting and dispositive power over shares held by Grander Holdings, Inc. 401K Profit Sharing Plan.
/s/ Michael Brauser
2012-10-23