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
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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*
Swallow John

(Last) (First) (Middle)
101 EAST LAKESIDE AVE.

(Street)
COEUR D'ALENE ID 83814

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Timberline Resources Corp [ TLR ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Executive Chairman
3. Date of Earliest Transaction (Month/Day/Year)
08/31/2009
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 Shares 08/31/2009 A 25,000 A $0(1) 165,000 D
Common Shares 09/08/2009 S 140,000 D $0.6926 25,000 D
Common Shares 09/14/2009 M 145,000 A $0.33 170,000 D
Common Shares 3,141,349 I By Cougar Valley LLC, John A. Swallow - Roth IRA and Erin Swallow - Roth IRA(2)
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
Employee Stock Option (Right to Buy) $0.33 09/14/2009 M 145,000 12/19/2008(3) 12/19/2013 Common Stock 145,000 $0 290,000 D
Employee Stock Option (Right to Buy) $0.57 08/31/2009 A 285,000 08/31/2009(4) 08/31/2014 Common Stock 285,000 $0 285,000 D
Employee Stock Option (Right to Buy) $0.57 08/31/2009 A 50,000 08/31/2009(4) 08/31/2014 Common Stock 50,000 $0 50,000 D
Explanation of Responses:
1. The shares reported herein were issued without cash consideration as a stock award to the Reporting Person.
2. 2,733,849 are held by Cougar Valley LLC, 387,500 are held by John A. Swallow - Roth IRA and 20,000 are held by Erin Swallow - Roth IRA.
3. The options vest in three equal annual installments beginning n 12/19/2008.
4. The options vest immediately on the date of the grant.
/s/ John A. Swallow 09/14/2009
** 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.