SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

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
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
McClintock John A

(Last) (First) (Middle)
C/O SILVER BULL RESOURCES, INC.
777 DUNSMUIR STREET, SUITE 1610

(Street)
VANCOUVER BC A1 V7Y 1K4

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
SILVER BULL RESOURCES, INC. [ SVBL ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
09/09/2021
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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 Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 09/10/2021 M 25,000 A $0.75 52,239 D
Common Stock 09/10/2021 F 19,380 D $1.02(1) 32,859 D
Common Stock 09/10/2021 M 62,500 A $0.8 95,359 D
Common Stock 09/10/2021 F 50,388 D $1.02(1) 44,971 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (Right to Buy) $0.75(2)(3) 09/09/2021 M 25,000(2) (4) 04/05/2022 Common Stock 25,000(2) $0 0 D
Stock Option (Right to Buy) $0.8(2)(5) 09/09/2021 M 62,500(2) (6) 09/18/2023 Common Stock 62,500(2) $0 0 D
Explanation of Responses:
1. Price shown is in US$ and was converted based on the foreign currency exchange rate as of September 9, 2021 (CDN$1.00=US$0.7886).
2. The exercise price or share amount was adjusted to reflect the one-for-eight reverse stock split of the shares of SVBL common stock completed on September 18, 2020.
3. This option to purchase common stock was priced in CDN$ at CDN$0.125 (pre-reverse stock split). Exercise price shown is in US$ and was converted based on the foreign currency exchange rate as of April 6, 2017 (CDN$1.00=US$0.7458).
4. This option to purchase common stock vested in three (3) annual installments of 8,333, 8,333 and 8,334. The first installment vested on April 6, 2017, the second installment vested on April 6, 2018, and the third installment vested on April 6, 2019.
5. This option to purchase common stock was priced in CDN$ at CDN$0.130 (pre-reverse stock split). Exercise price shown is in US$ and was converted based on the foreign currency exchange rate as of September 19, 2018 (CDN$1.00=US$0.7721).
6. This option to purchase common stock vested in three (3) annual installments of 20,833, 20,833 and 20,834. The first installment vested on September 19, 2018, the second installment vested on September 19, 2019, and the third installment vested on September 19, 2020.
/s/ John A. McClintock 09/13/2021
** 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.