0001422124-23-000004.txt : 20230526
0001422124-23-000004.hdr.sgml : 20230526
20230526214140
ACCESSION NUMBER: 0001422124-23-000004
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230228
FILED AS OF DATE: 20230526
DATE AS OF CHANGE: 20230526
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KILBOURNE THOMAS C
CENTRAL INDEX KEY: 0001203486
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-50107
FILM NUMBER: 23971222
MAIL ADDRESS:
STREET 1: P O BOX A
CITY: OSBURN
STATE: ID
ZIP: 83849
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: DAYBREAK OIL & GAS, INC.
CENTRAL INDEX KEY: 0001164256
STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311]
IRS NUMBER: 910626366
STATE OF INCORPORATION: WA
FISCAL YEAR END: 0228
BUSINESS ADDRESS:
STREET 1: 1101 NORTH ARGONNE ROAD
STREET 2: SUITE A 211
CITY: SPOKANE VALLEY
STATE: WA
ZIP: 99212
BUSINESS PHONE: (509) 232-7674
MAIL ADDRESS:
STREET 1: 1101 NORTH ARGONNE ROAD
STREET 2: SUITE A 211
CITY: SPOKANE VALLEY
STATE: WA
ZIP: 99212
FORMER COMPANY:
FORMER CONFORMED NAME: Daybreak Oil & Gas, Inc.
DATE OF NAME CHANGE: 20120712
FORMER COMPANY:
FORMER CONFORMED NAME: DAYBREAK OIL & GAS INC
DATE OF NAME CHANGE: 20051212
FORMER COMPANY:
FORMER CONFORMED NAME: DAYBREAK MINES INC
DATE OF NAME CHANGE: 20011231
5
1
primary_doc.xml
PRIMARY DOCUMENT
X0407
5
2023-02-28
0
0
0
0001164256
DAYBREAK OIL & GAS, INC.
DBRM
0001203486
KILBOURNE THOMAS C
P O BOX A
OSBURN
ID
83849
0
1
0
0
Asst. Corp. Secretary
0
Common Stock ($0.001 Par Value)
2022-02-22
5
A
0
L
585555
0.45
A
1512627
D
This transaction was/is disclosed on the Issuer's SEC filings and its corporate website.
Acquired pursuant to an agreement effective December 15, 2021, which called for conversion of debt into Daybreak common stock at a conversion price of $0.45 per share.
Karol Adams for Thomas C Kilbourne by power of atty
2023-05-23