-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, TaFnGlQHicnTQGdqToaG+Wmvs3J3D0mTjRy0e0WfEU5z9gEkixyjyzUFgUDg96Ml tj69iZh/+pXMZeuAU2WgkA== 0000912282-08-001810.txt : 20081224 0000912282-08-001810.hdr.sgml : 20081224 20081224130807 ACCESSION NUMBER: 0000912282-08-001810 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20081219 FILED AS OF DATE: 20081224 DATE AS OF CHANGE: 20081224 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Guill Ronald W CENTRAL INDEX KEY: 0001421221 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34055 FILM NUMBER: 081269895 BUSINESS ADDRESS: BUSINESS PHONE: 208-388-0591 MAIL ADDRESS: STREET 1: 2250 EAST GOSSAMER LANE CITY: BOISE STATE: ID ZIP: 83706 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Timberline Resources Corp CENTRAL INDEX KEY: 0001288750 STANDARD INDUSTRIAL CLASSIFICATION: GOLD & SILVER ORES [1040] IRS NUMBER: 820291227 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 101 EAST LAKESIDE AVENUE CITY: COEUR D'ALENE STATE: ID ZIP: 83814 BUSINESS PHONE: (208) 664-4859 MAIL ADDRESS: STREET 1: 101 EAST LAKESIDE AVENUE CITY: COEUR D'ALENE STATE: ID ZIP: 83814 4 1 timberline-guill4_120908ex.xml X0303 4 2008-12-19 0 0001288750 Timberline Resources Corp TLR 0001421221 Guill Ronald W 967 E. PARK CENTER BLVD. PMB 396 BOISE ID 83706 1 0 1 0 Common Stock 2008-12-01 4 J 0 5555556 .90 A 5556556 D Convertible Promissory Note 2008-12-01 4 P 0 3333333 A 2010-10-31 Common Stock 3333333 3333333 I Small Mine Development, LLC The reporting person was issued a convertible promissory note for $5,000,000, automatically convertible into 5,555,556 common shares of the issuer at a price of $0.90 per share, provided that NYSE Alternext approval is obtained and all other contingencies for issuance of the stock are received and the stock is converted on or before December 31, 2008. The reporting person is the sole owner of Small Mine Development, LLC, the holder of a convertible note in the amount of $5,000,000, which can be converted into 3,333,333 common shares of the issuer at a price of $1.50 per share, through October 31, 2010. /s/ Ronald W. Guill 2008-12-24 -----END PRIVACY-ENHANCED MESSAGE-----