0001091818-13-000055.txt : 20130204 0001091818-13-000055.hdr.sgml : 20130204 20130204143303 ACCESSION NUMBER: 0001091818-13-000055 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121231 FILED AS OF DATE: 20130204 DATE AS OF CHANGE: 20130204 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: QUILLIAM PIERRE CENTRAL INDEX KEY: 0001140017 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-53765 FILM NUMBER: 13569507 MAIL ADDRESS: STREET 1: 5709 MANATEE AVENUE CITY: BRADENTON STATE: FL ZIP: 34209 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: QUILLIAM DENISE CENTRAL INDEX KEY: 0001140018 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-53765 FILM NUMBER: 13569506 MAIL ADDRESS: STREET 1: 7270 WOODBINE AVE STREET 2: SUITE 200 L3R 4B9 CITY: MARKHAM ONTARIO ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Silver Falcon Mining, Inc. CENTRAL INDEX KEY: 0001464830 STANDARD INDUSTRIAL CLASSIFICATION: GOLD & SILVER ORES [1040] IRS NUMBER: 261266967 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2520 MANATEE AVENUE, WEST, #200 CITY: BRADENTON STATE: FL ZIP: 34205 BUSINESS PHONE: 941-761-7819 MAIL ADDRESS: STREET 1: 2520 MANATEE AVENUE, WEST, #200 CITY: BRADENTON STATE: FL ZIP: 34205 5 1 primary_doc.xml PRIMARY DOCUMENT X0306 5 2012-12-31 0 0 1 0001464830 Silver Falcon Mining, Inc. SFMI 0001140017 QUILLIAM PIERRE 2520 MANATEE AVENUE WEST #200 BRADENTON FL 34209 1 1 1 0 CEO 0001140018 QUILLIAM DENISE 2520 MANATEE AVENUE WEST #200 BRADENTON FL 34205 1 1 0 0 SECRETARY CLASS 'A' COMMON STOCK 2012-12-09 4 A 0 L 5980534 0.015 A 70396273 D CLASS 'A' COMMON STOCK 2012-12-09 4 A 0 L 1448515 0.017 A 71844788 D CLASS 'B' COMMON STOCK 2012-11-17 4 A 0 L 1500000 0.024 A 1519500 D CLASS 'A' COMMON STOCK 2012-12-09 4 A 0 L 5980534 0.015 A 15752822 D CLASS 'A' COMMON STOCK 2012-12-09 4 A 0 L 1448515 0.041 A 18701932 D CLASS 'B' COMMON STOCK 2012-11-17 4 A 0 L 1500000 0.024 A 4719044 D STOCK OPTION 0.017 2012-12-10 5 A 0 10000000 0.017 A 2013-12-10 2022-12-10 COMMON STOCK 10000000 23000000 D STOCK OPTION 0.017 2012-12-10 5 A 0 5000000 0.017 A 2013-12-10 2022-12-10 COMMON STOCK 5000000 10500000 D SHARES OWNED BY PIERRE QUILLIAM. MR. QUILLIAM IS THE SPOUSE OF DENISE QUILLIAM, AND THEREFORE DENISE QUILLIAM HAS INDIRECT OWNERSHIP OF ALL SHARES OWNED BY PIERRE QUILLIAM. SHARES OWNED BY DENISE QUILLIAM. MRS. QUILLIAM IS THE SPOUSE OF PIERRE QUILLIAM, AND THEREFORE PIERRE QUILLIAM HAS INDIRECT OWNERSHIP OF ALL SHARES OWNED BY DENISE QUILLIAM. ISSUED UNDER RULE 144. OPTIONS NOT REGISTERED /s/Pierre Quilliam 2013-02-04 /s/Denise Quilliam 2013-02-04