0001521536-12-001234.txt : 20121207
0001521536-12-001234.hdr.sgml : 20121207
20121207145916
ACCESSION NUMBER: 0001521536-12-001234
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120803
FILED AS OF DATE: 20121207
DATE AS OF CHANGE: 20121207
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Groussman Mark
CENTRAL INDEX KEY: 0001552880
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54652
FILM NUMBER: 121249668
MAIL ADDRESS:
STREET 1: 100 S POINTE DRIVE #1405
CITY: MIAMI BEACH
STATE: FL
ZIP: 33139
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: American Strategic Minerals Corp
CENTRAL INDEX KEY: 0001507605
STANDARD INDUSTRIAL CLASSIFICATION: SANITARY SERVICES [4950]
IRS NUMBER: 010949984
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2331 MILL ROAD, SUITE 100
CITY: ALEXANDRIA
STATE: VA
ZIP: 22314
BUSINESS PHONE: 703-626-4984
MAIL ADDRESS:
STREET 1: 2331 MILL ROAD, SUITE 100
CITY: ALEXANDRIA
STATE: VA
ZIP: 22314
FORMER COMPANY:
FORMER CONFORMED NAME: VERVE VENTURES INC
DATE OF NAME CHANGE: 20101210
4
1
q1100892_form4-groussman.xml
OWNERSHIP DOCUMENT
X0306
4
2012-08-03
1
0001507605
American Strategic Minerals Corp
ASMC
0001552880
Groussman Mark
4400 BISCAYNE BOULEVARD, SUITE #850
MIAMI
FL
33137
0
1
0
0
Former Chief Executive Officer
Common Stock
2012-09-14
4
X
0
302970
A
3340631
I
See Note
Common Stock
2012-11-06
4
S
0
100000
0.20
D
3240631
I
See Note
Common Stock
2012-11-06
4
S
0
750000
0.20
D
2490631
I
See Note
Common Stock
2012-11-08
4
S
0
275000
0.20
D
2215631
I
See Note
Common Stock
2012-11-09
4
S
0
250000
0.20
D
1965631
I
See Note
Common Stock
2012-11-13
4
P
0
1000000
0.15
A
2965631
I
See Note
Options
0.50
2012-08-03
4
J
0
1500000
A
2012-08-03
2022-08-03
Common Stock
1500000
1500000
D
Options
0.50
2012-11-14
4
J
0
1500000
D
2012-08-03
2022-08-03
Common Stock
1500000
0
D
Represents shares held by Melechdavid, Inc. Mr. Groussman is the President of Melechdavid, Inc. and in such capacity holds voting and dispositive power over shares held by Melechdavid, Inc.
Represents shares of common stock received upon the cashless exercise of a warrant to purchase 600,000 shares of the Company's common stock at an exercise price of $0.50 per share. Upon issuance, the 302,970 shares of common stock were assigned to a custodial account for Mr. Groussman's minor child over which Mr. Groussman's wife is custodian. Mr. Groussman disclaims any beneficial ownership over such shares.
Represents ten year options to purchase 1,500,000 shares of Common Stock at an exercise price of $0.50 per share issuable to Mr. Groussman pursuant to his employment agreement dated August 3, 2012. The options were issued under the Company's 2012 Equity Incentive Plan. On November 14, 2012, Mr. Groussman agreed to forfeit the options back to the Company for cancellation.
/s/ Mark Groussman
2012-12-06