FORM 5 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | |||||||||||||||||
Form 3 Holdings Reported. | |||||||||||||||||
Form 4 Transactions Reported. |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
Paramount Gold Nevada Corp. [ PZG ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Statement for Issuer's Fiscal Year Ended
(Month/Day/Year) 06/30/2017 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | |||||||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||||||
Amount | (A) or (D) | Price | |||||||||||||
Common Stock, par value $0.01 per share | 08/14/2017 | P | 2,300 | A(1) | $1.45 | 3,247,178(2)(3) | D(2)(3) | ||||||||
Common Stock, par value $0.01 per share | 08/15/2017 | P | 1,500 | A | $1.47 | 3,247,178(2)(3) | D(2)(3) | ||||||||
Common Stock, par value $0.01 per share | 08/16/2017 | P | 1,100 | A | $1.46 | 3,247,178(2)(3) | D(2)(3) | ||||||||
Common Stock, par value $0.01 per share | 08/17/2017 | P | 4,900 | A | $1.53 | 3,247,178(2)(3) | D(2)(3) | ||||||||
Common Stock, par value $0.01 per share | 08/18/2017 | P | 1,800 | A | $1.56 | 3,247,178(2)(3) | D(2)(3) | ||||||||
Common Stock, par value $0.01 per share | 08/22/2017 | P | 2,500 | A | $1.54 | 3,247,178(2)(3) | D(2)(3) | ||||||||
Common Stock, par value $0.01 per share | 08/23/2017 | P | 500 | A | $1.55 | 3,247,178(2)(3) | D(2)(3) | ||||||||
Common Stock, par value $0.01 per share | 08/24/2017 | P | 1,300 | A | $1.54 | 3,247,178(2)(3) | D(2)(3) | ||||||||
Common Stock, par value $0.01 per share | 08/25/2017 | P | 2,000 | A | $1.55 | 3,247,178(2)(3) | D(2)(3) | ||||||||
Common Stock, par value $0.01 per share | 08/28/2017 | P | 3,300 | A | $1.56 | 3,247,178(2)(3) | D(2)(3) | ||||||||
Common Stock, par value $0.01 per share | 08/29/2017 | P | 4,295 | A | $1.54 | 3,247,178(2)(3) | D(2)(3) | ||||||||
Common Stock, par value $0.01 per share | 08/30/2017 | P | 1,674 | A | $1.56 | 3,247,178(2)(3) | D(2)(3) | ||||||||
Common Stock, par value $0.01 per share | 08/31/2017 | P | 3,300 | A | $1.57 | 3,247,178(2)(3) | D(2)(3) | ||||||||
Common Stock, par value $0.01 per share | 09/01/2017 | P | 5,200 | A | $1.58 | 3,247,178(2)(3) | D(2)(3) | ||||||||
Common Stock, par value $0.01 per share | 09/05/2017 | P | 7,800 | A | $1.71 | 3,247,178(2)(3) | D(2)(3) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | ||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
Warrants to purchase Common Stock | (4) | 02/14/2017 | 02/14/2019 | Common Stock | 248,400 | 248,400 | D |
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. All shares acquired in the transactions reported in Table I of this Form 5 were acquired by FCMI Parent Co. and were included in the total beneficial ownership of the Reporting Persons shown in Column 5, "Amount of Securities Beneficially Owned Following Reported Transaction(s)," of the Form 4 filed by the Reporting Persons on October 16. 2017. |
2. Of such 3,247,178 shares owned at the Issuer's fiscal year end, 2,024,967 shares are owned directly by FCMI Parent Co., and 1,222,211 shares are owned directly by FCMI Financial Corporation, its wholly owned subsidiary. Subsequent to such year end, FCMI Parent Co. acquired additional shares of the Issuer's common stock, including 1,075,000 shares reported in a Form 4 filed by the Reporting Persons on October 16, 2017, the shares reported in this Form 5 and additional shares being reported in Form 5 statements being filed on the date hereof. Footnote 2 continued in Footnote 3. |
3. Continued from Footnote 2. On the date of this Form 5, the reporting persons own a total of 4,347,910 shares, of which 3,125,699 shares are owned directly by FCMI Parent Co., and 1,222,211 shares are owned directly by FCMI Financial Corporation. The Warrants listed in Table II are owned directly by FCMI Parent Co. Each Warrant is exercisable to purchase one-half share of the Issuer's common stock. Mr. Albert D. Friedberg is the President of FCMI Parent Co., which is owned by Mr. Friedberg and members of his family and controlled by Mr. Friedberg. |
4. From February 14, 2017 to and including February 14, 2018, $2.00 per share; from February 15, 2018 to and including February 14, 2019, $2.25 per share, in each case subject to adjustment for certain events set forth in the warrants. |
Remarks: |
Form 5 - Part 3 of 3. |
/s/ Dan Scheiner, Vice President FCMI Parent Co. | 01/24/2018 | |
** 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 4 (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. |