FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 12/22/2011 |
3. Issuer Name and Ticker or Trading Symbol
Applied Minerals, Inc. [ AMNL.OB ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 3,850,000(1) | I | See Footnote(2)(3) |
Common Stock | 6,150,000(1) | I | See Footnote(2)(3) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Common Stock Warrants (right to buy) | 12/22/2011 | 12/22/2016 | Common Stock | 1,925,000(1) | $2 | I | See Footnote(2)(3) |
Common Stock Warrants (right to buy) | 12/22/2011 | 12/22/2016 | Common Stock | 3,075,000(1) | $2 | I | See Footnote(2)(3) |
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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Explanation of Responses: |
1. On December 22, 2011, Applied Minerals, Inc. (the "Issuer"), Samlyn Onshore Fund, LP ("Samlyn Onshore") and Samlyn Offshore Master Fund, Ltd. ("Samlyn Offshore", and together with Samlyn Onshore, the "Investors") entered into an Investment Agreement (the "Investment Agreement") pursuant to which the Investors collectively agreed to purchase 10,000,000 shares of the Issuer's common stock and warrants to collectively purchase an additional 5,000,000 shares of the Issuer's common stock (the "Warrants") for an aggregate purchase price of $10,000,000. Pursuant to the Investment Agreement, the Issuer issued 3,850,000 shares of common stock and 1,925,000 Warrants to Samlyn Onshore and 6,150,000 shares of common stock and 3,075,000 Warrants to Samlyn Offshore. |
2. Samlyn Capital, LLC ("Samlyn Capital") may be deemed to indirectly beneficially own the 3,850,000 shares of the Issuer's common stock and the 1,925,000 Warrants directly held by Samlyn Onshore and the 6,150,000 shares of the Issuer's common stock and 3,075,000 Warrants directly held by Samlyn Offshore because of Samlyn Capital's relationship with Samlyn Onshore and Samlyn Offshore. Samlyn Capital acts as the investment manager to both Samlyn Onshore and Samlyn Offshore. In addition, Samlyn Partners, LLC ("Samlyn Partners") may be deemed to indirectly beneficially own the 3,850,000 shares of the Issuer's common stock and the 1,925,000 Warrants directly held by Samlyn Onshore because Samlyn Partners is the general partner of Samlyn Onshore. |
3. (continued from Footnote 2) Robert Pohly ("Mr. Pohly") may be deemed to indirectly beneficially own the 3,850,000 shares of the Issuer's common stock and the 1,925,000 Warrants directly held by Samlyn Onshore and the 6,150,000 shares of the Issuer's common stock and 3,075,000 Warrants directly held by Samlyn Offshore because of Mr. Pohly's relationship with Samlyn Partners and Samlyn Capital. Mr. Pohly is the managing member of both Samlyn Partners and Samlyn Capital. Each of Samlyn Capital, Samlyn Partners and Mr. Pohly disclaims beneficial ownership of any of the Issuer's securities as to which this report relates except to the extent of their respective pecuniary interest therein, and this report shall not be deemed an admission that any of Samlyn Capital, Samlyn Partners or Mr. Pohly is the beneficial owner of such securities for purposes of Section 16 or for any other purpose. |
Samlyn Capital, LLC, By: /s/ Robert Pohly, Managing Member | 01/03/2012 | |
Samlyn Onshore Fund, LP, By: Samlyn Partners, LLC, its general partner, By:/s/ Robert Pohly, Managing Member | 01/03/2012 | |
Samlyn Offshore Master Fund, Ltd., By: /s/ Robert Pohly, Director | 01/03/2012 | |
Samlyn Partners, LLC, By:/s/ Robert Pohly, Managing Member | 01/03/2012 | |
/s/ Robert Pohly | 01/03/2012 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 5 (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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
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 Number. |