Filing Details

Accession Number:
0001140361-11-043930
Form Type:
5
Zero Holdings:
No
Publication Time:
2011-08-29 16:22:54
Reporting Period:
2011-05-31
Filing Date:
2011-08-29
Accepted Time:
2011-08-29 16:22:54
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1350770 Black Tusk Minerals Inc. BKTK Mining & Quarrying Of Nonmetallic Minerals (No Fuels) (1400) 000000000
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1349391 Kurt Bordian 217 Fifth Avenue
New Westminster A1 V3L 1R5
Yes No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2011-02-08 165,000 $0.05 165,880 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Common Stock Warrants Acquisiton 2011-02-08 165,000 $0.00 165,000 $0.05
Common Stock 7% Convertible Debenture Acquisiton 2011-02-08 21,750 $21,750.00 435,000 $0.05
Common Stock Stock Option (Right to Buy) Acquisiton 2011-03-18 75,000 $0.00 75,000 $0.12
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
165,000 2011-02-08 2016-02-08 No 4 P Direct
21,750 2011-02-08 2016-03-01 No 4 P Direct
75,000 2011-03-18 2021-03-18 No 4 A Direct
Footnotes
  1. The reported securities are included within 165,000 Black Tusk units purchased by the reporting person for $0.05 per unit. Each unit consists of one share of common stock and one warrant to purchase one share of common stock
  2. The 7% convertible debentures are convertible into units at a price of $0.05 per unit. Each unit consists of one share of common stock of the issuer and one common stock purchase warrant, which may be exercised to acquire one share of common stock of the Issuer at an exercise price of $0.05 until March 1, 2016.