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