Filing Details

Accession Number:
0001010412-17-000020
Form Type:
4
Zero Holdings:
No
Publication Time:
2017-04-27 15:42:33
Reporting Period:
2017-04-26
Filing Date:
2017-04-27
Accepted Time:
2017-04-27 15:42:33
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1074871 Bear Lake Recreation Inc BLKE Blank Checks (6770) 870620495
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1304684 M Derrick Albiston 8346 South Viscounti Drive
Sandy UT 84093
No No No Yes
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 2017-04-26 181,633 $0.02 104,083 No 4 S Direct
Common Stock Disposition 2017-04-26 82,416 $0.02 21,667 No 4 S Direct
Common Stock Disposition 2017-04-26 6,667 $0.02 15,000 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 S Direct
No 4 S Direct
No 4 S Direct
Footnotes
  1. These shares reflect a 3.5 for 1 reverse stock split effective October 23, 2006. The previous ownership reported was 1,000,000 shares beneficially owned, which after the reverse and rounding equals 285,716 shares beneficially owned.
  2. 181,633 shares were cancelled to the Company for an aggregate price of $4,000 pursuant to a Common Stock Purchase Agreement dated April 5, 2017 (the "Agreement"), and filed with the Securities and Exchange Commission on that date; the Agreement was closed and completed on April 26, 2017, at which time Mr. Albiston's resignation as an officer and director became effective.
  3. Mr. Albiston sold 82,416 shares to a person who may be deemed to have been a related party of the Company at $0.02 per share for an aggregate purchase price of $1,648.32.
  4. Mr. Albiston sold 6,667 shares to a former legal counsel of the Company at $0.02 per share for an aggregate purchase price of $133.34.
  5. The Agreement required that the remaining 15,000 shares owned by Mr. Albiston be pledged to the Company for a period of 12 months under an Indemnification Escrow Agreement and an Indemnification Agreement.