Filing Details

Accession Number:
0001454170-11-000001
Form Type:
4
Zero Holdings:
No
Publication Time:
2011-10-18 12:05:31
Reporting Period:
2011-02-03
Filing Date:
2011-10-18
Accepted Time:
2011-10-18 12:05:31
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1025362 Golden Queen Mining Co Ltd GQM Metal Mining (1000) 000000000
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1454170 Moragne Thomas Clay 188 Old Street Road
Peterborough NH 03458
Yes No Yes 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 Disposition 2011-02-03 1,999,389 $0.00 9,361,856 No 5 G Indirect By grantor annuity trust
Common Stock Acquisiton 2011-04-07 10,000 $3.09 10,000 No 4 P Indirect By general partnership
Common Stock Disposition 2011-04-11 829,579 $0.00 4,160,895 No 5 G Indirect By grantor retained annuity trust
Common Stock Acquisiton 2011-10-12 3,524,968 $0.00 3,524,968 No 5 G Indirect By grantor retained annuity trust
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 5 G Indirect By grantor annuity trust
No 4 P Indirect By general partnership
No 5 G Indirect By grantor retained annuity trust
No 5 G Indirect By grantor retained annuity trust
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 869,223 Direct
Common Stock 2,351 Indirect By mother
Common Stock 2,596,480 Indirect By siblings
Common Stock 4,979,094 Indirect By trusts
Common Stock 807,250 Indirect By corporation
Common Stock 30,777 Indirect By corporation
Footnotes
  1. On February 3, 2011, the reporting person, as trustee of the Landon T. Clay 2010-1 Annuity Trust (the "2010-1 GRAT") authorized the transfer of 1,999,389 shares from the 2010-1 GRAT to Landon T. Clay as satisfaction of the annuity payment authorized by the 2010-1 GRAT.
  2. The price reported in Column 4 is a weighted average price. The shares were acquired in multiple transactions at prices ranging from $3.05 to $3.12 inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares acquired at each separate price within the ranges set forth in this footnote.
  3. On April 7, 2011, Winter Place Associates, a general partnership, of which the reporting person has a partnership interest, purchased an aggregate of 10,000 shares of GQM. The reporting person disclaims beneficial ownership of these shares except to the extent of his proportionate pecuniary interest therein.
  4. On April 11, 2011, the reporting person, as trustee of the Landon T. Clay 2010-2 Annuity Trust (the "2010-2 GRAT") authorized the transfer of 829,579 shares from the 2010-2 GRAT to Landon T. Clay as satisfaction of the annuity payment authorized by the 2010-2 GRAT.
  5. Represents shares held by the 2010-1 GRAT of which the reporting person is the sole trustee. The reporting person disclaims beneficial ownersip of the shares held by the 2010-1 GRAT.
  6. Represents shares held by the 2010-2 GRAT of which the reporting person is the sole trustee. The reporting person disclaims beneficial ownership of the shares held by the 2010-2 GRAT.
  7. On October 12, 2011, the reporting person's father, Landon T. Clay, transferred an aggregate of 3,524,968 shares into the Landon T. Clay 2011-2 Annuity Trust u/a dated October 12, 2011 (the "2011-2 GRAT") for the benefit of the reporting person's father. The reporting person is the sole trustee of the 2011-2 GRAT. The reporting person disclaims beneficial ownership of the shares held by the 2011-2 GRAT.
  8. The reporting person disclaims beneficial ownership of these shares.
  9. The amount of direct holdings includes 701 shares of the issuer that were acquired by the reporting person from the distribution of shares held by the Landon T. Clay Charitable Annuity Lead Trust u/a November 30, 1983 ("LTC I Trust") which terminated on November 30, 2007. The shares acquired by the reporting person from the LTC I Trust were not previously reported due to an administrative error.
  10. Represents shares held by various charitable annuity lead trusts (the "Trusts") in which the reporting person has a remainder beneficial interest. The reporting person's father, Landon T. Clay, provides investment advisory services to the Trusts. The reporting persons disclaims beneficial interest of the shares held by the Trusts except to the extent of his proportionate pecuniary interest therein.
  11. Represents shares held by Arctic Coast Petroleums Ltd. ("Arctic Coast"). Reporting person is the trustee of the Clay Family 2009 Irrevocable Trust u/a dated April 14, 2009 (the "Trust") which owns 50% of the shares of Arctic Coast. The reporting person is a director of Arctic Coast. The reporting person disclaims beneficial ownership of the shares of GQM held by Arctic Coast.
  12. Represents shares held indirectly by the reporting person's father, Landon T. Clay. Such shares include 26,114 shares held by LTC Corp. and 4,663 shares held by LTC Corp. Pension and Profit Sharing PLan. The reporting person disclaims beneficial ownership of these shares.