Filing Details

Accession Number:
0001008274-11-000001
Form Type:
4
Zero Holdings:
No
Publication Time:
2011-10-18 13:24:43
Reporting Period:
2011-02-03
Filing Date:
2011-10-18
Accepted Time:
2011-10-18 13:24:43
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
1008274 T Landon Clay C/O East Hill Management Co., Llc
10 Memorial Blvd, Suite 902
Providence RI 02903
No 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 Acquisiton 2011-02-03 1,999,389 $0.00 9,361,856 No 5 G Indirect By grantor retained annuity trust
Common Stock Acquisiton 2011-04-07 10,000 $3.09 10,000 No 4 P Indirect By general partnership
Common Stock Acquisiton 2011-04-11 829,579 $0.00 4,160,895 No 5 G Indirect By grantor retained annuity trust
Common Stock Disposition 2011-10-12 3,524,968 $0.00 0 No 5 G Direct
Common Stock Acquisiton 2011-10-12 3,524,268 $0.00 3,524,268 No 5 G Indirect By grantor retained annuity lead trust
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 5 G Indirect By grantor retained annuity trust
No 4 P Indirect By general partnership
No 5 G Indirect By grantor retained annuity trust
No 5 G Direct
No 5 G Indirect By grantor retained annuity lead trust
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 2,351 Indirect By spouse
Common Stock 3,465,703 Indirect By sons
Common Stock 807,250 Indirect By corporation
Common Stock 30,777 Indirect By corporation
Common Stock 4,979,094 Indirect By trusts
Footnotes
  1. On February 3, 2011, the trustee of the Landon T. Clay Annuity Trust (the "2010-1 GRAT") authorized the transfer of 1,999,389 shares from the 2010-1 GRAT to the reporting person as satisfaction of the annuity payment authorized by the 2010-1 GRAT.
  2. Represents shares held by the 2010-1 GRAT.
  3. The price 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.
  4. 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.
  5. On April 11, 2011, the 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 the reporting person as satisfaction of the annuity payment authorized by the 2010-2 GRAT.
  6. Represents shares held by the 2010-2 GRAT.
  7. On October 12, 2011, the reporting person transferred an aggregate 3,524,968 shares of GQM to the Landon T. Clay 2011-2 Annuity Trust u/a dated October 12, 2011 (the "2011-2 GRAT") for the benefit of himself. The reporting person's son, Thomas M. Clay, is the sole trustee of the 2011-2 GRAT. Thomas M. Clay is a director of the issuer.
  8. Represents shares held by the reporting person's spouse. The reporting person disclaims beneficial ownership of the shares held by his spouse.
  9. Represents shares held by the reporting person's four sons including 869,223 shares held by Thomas M. Clay, 869,222 held by Richard T. Clay, 863,629 shares held by Landon H. Clay and 863,629 shares held by Cassius M.C. Clay. The reporting person disclaims beneficial ownership of the shares held by his sons.
  10. Represents shares held by Arctic Coast Petroleums Ltd. ("Arctic Coast"). The reporting person owned 50% of the shares of Arctic Coast and transferred his interest in Arctic Coast on October 22, 2009 to the Clay Family 2009 Irrevocable Turst u/a dated April 14, 2009, the trustees of which are Thomas M. Clay and Harris Clay. The reporting person disclaims beneficial ownership of the shares held by Arctic Coast.
  11. Represents 26,114 shares held by LTC Corp. and 4,663 shares held by LTC Corp. Pension and Profit Sharing Plan. Reporting person is the sole shareholder of LTC Corp. and the beneficiary of the LTC Corp. Pension and Profit Sharing Plan.
  12. Represents shares held by various charitable annuity lead trusts of which the reporting person is the donor (the "Trusts"). Harris Clay is the trustee of the Trusts and each of the reporting person's sons has a remainder beneficial interest in the Trusts. The reporting peson provides investment advisory services to the Trusts. The reporting person disclaims beneficial ownership of the shares held by the Trusts.