0001454170-18-000005.txt : 20180606
0001454170-18-000005.hdr.sgml : 20180606
20180606160402
ACCESSION NUMBER: 0001454170-18-000005
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180605
FILED AS OF DATE: 20180606
DATE AS OF CHANGE: 20180606
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Clay Thomas Moragne
CENTRAL INDEX KEY: 0001454170
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-21777
FILM NUMBER: 18883854
MAIL ADDRESS:
STREET 1: C/O EAST HILL MANAGEMENT COMPANY, LLC
STREET 2: 70 MAIN STREET, SUITE 300
CITY: PETERBOROUGH
STATE: NH
ZIP: 03458
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: GOLDEN QUEEN MINING CO LTD
CENTRAL INDEX KEY: 0001025362
STANDARD INDUSTRIAL CLASSIFICATION: METAL MINING [1000]
IRS NUMBER: 000000000
STATE OF INCORPORATION: A1
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: GOLDEN QUEEN MINING CO. LTD.
STREET 2: #2300 - 1066 WEST HASTINGS STREET
CITY: VANCOUVER
STATE: A1
ZIP: V6E 3X2
BUSINESS PHONE: 604-921-7570
MAIL ADDRESS:
STREET 1: GOLDEN QUEEN MINING CO. LTD.
STREET 2: #2300 - 1066 WEST HASTINGS STREET
CITY: VANCOUVER
STATE: A1
ZIP: V6E 3X2
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2018-06-05
0
0001025362
GOLDEN QUEEN MINING CO LTD
GQM
0001454170
Clay Thomas Moragne
C/O EAST HILL MANAGEMENT COMPANY, LLC
70 MAIN STREET, SUITE 300
PETERBOROUGH
NH
03458
1
1
0
0
CEO
Common Stock
6658116
D
Common Stock
2018-06-05
4
J
0
248082
0
D
0
I
By Corporation
Common Stock
7031755
I
By trust
Common Stock
807250
I
By trust
Represents shares of common stock of Golden Queen Mining Co. Ltd. (the "Issuer") held by LTC Corporation ("LTC Corp"). The Estate of Landon Thomas Clay (the "Estate") is the sole stockholder of LTC Corp following the death of Mr. Landon Thomas Clay, the Reporting Person's father, in July 2017. The Reporting Person is the executor of the Estate and the president of LTC Corp. On June 4, 2018, LTC Corp distributed all of its shares of common stock of the Issuer to the Estate. Following this disposition the Reporting Person no longer holds any beneficial interest in these shares of common stock of the Issuer.
Represents shares of common stock of the Issuer held by the Monadnock Charitable Lead Annuity Trust dated May 31, 1996 ("Monadnock"). East Hill Management Company, LLC ("East Hill") provides investment advisory services to Monadnock. The Reporting Person is the sole manager of East Hill. Mr. Landon Thomas Clay was the donor of the assets to Monadnock and the Reporting Person has a remainder beneficial interest in the assets held by Monadnock. The Reporting Person disclaims beneficial ownership of the shares of common stock of the Issuer held by Monadnock except to the extent of the Reporting Person's proportionate pecuniary interest therein.
Represents common shares of the Issuer held by Arctic Coast Petroleums, Ltd. ("Arctic Coast"). The Reporting Person is a trustee of the Clay Family 2009 Irrevocable Trust dated April 14, 2009 (the "2009 Trust"), which owns 50% of the equity interests of Arctic Coast. Mr. Landon Thomas Clay was the donor of the portion of Arctic Coast held by the 2009 Trust. The Reporting Person is a director of Arctic Coast. The Reporting Person disclaims beneficial ownership of 50% of the shares of Common Stock held by Arctic Coast.
/s/ Thomas M. Clay
2018-06-06