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AU AngloGold Ashanti

Filed: 13 Jul 21, 11:20am
SEC Form 5
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0362
Estimated average burden
hours per response: 1.0
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
X
Form 3 Holdings Reported.
X
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
ANGLOGOLD ASHANTI LTD

(Last) (First) (Middle)
76 RAHIMA MOOSA STREET

(Street)
NEWTOWN, JOHANNESBURG T3 2001

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Corvus Gold Inc. [ KOR ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
05/31/2021
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount (A) or (D) Price
Common Shares 3(1) 14,698,876(9) I (See footnote)(11)
Common Shares 03/11/2016 P4 2,500,000 A $0.54(2) 17,198,876(10) I (See footnote)(11)
Common Shares 12/07/2017 P4 1,574,803 A $0.99(3) 18,773,679(10) I (See footnote)(11)
Common Shares 06/05/2018 P4 1,730,770 A $2(4) 20,504,449(10) I (See footnote)(11)
Common Shares 06/29/2018 P4 682,000 A $1.89(5) 21,186,449(10) I (See footnote)(11)
Common Shares 12/20/2018 P4 800,000 A $1.94(6) 21,986,449(10) I (See footnote)(11)
Common Shares 08/19/2019 P4 500,000 A $1.96(7) 22,486,449(10) I (See footnote)(11)
Common Shares 10/07/2019 P4 2,288,500 A $1.5(8) 24,774,949(10) I (See footnote)(11)
Common Shares 24,774,949 I (See footnote)(11)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
1. Name and Address of Reporting Person*
ANGLOGOLD ASHANTI LTD

(Last) (First) (Middle)
76 RAHIMA MOOSA STREET

(Street)
NEWTOWN, JOHANNESBURG T3 2001

(City) (State) (Zip)
1. Name and Address of Reporting Person*
AngloGold Ashanti (U.S.A.) Exploration Inc.

(Last) (First) (Middle)
4601 DTC BOULEVARD
SUITE 550

(Street)
DENVER CO 80237

(City) (State) (Zip)
Explanation of Responses:
1. On May 29, 2015, the Issuer registered its Common Shares pursuant to Section 12(g) of the Securities Exchange Act of 1934, as amended, at which time the Reporting Persons (as defined below) beneficially owned 14,698,876 Common Shares of the Issuer.
2. The sale price in U.S. dollars reported above was converted from the sale price expressed in Canadian dollars of C$0.70 per Common Share, using an exchange rate of C$1.30 = US$1.00.
3. The sale price in U.S. dollars reported above was converted from the sale price expressed in Canadian dollars of C$1.27 per Common Share, using an exchange rate of C$1.28 = US$1.00.
4. The sale price in U.S. dollars reported above was converted from the sale price expressed in Canadian dollars of C$2.60 per Common Share, using an exchange rate of C$1.30 = US$1.00.
5. The sale price in U.S. dollars reported above was converted from the sale price expressed in Canadian dollars of C$2.37 per Common Share, using an exchange rate of C$1.26 = US$1.00.
6. The sale price in U.S. dollars reported above was converted from the sale price expressed in Canadian dollars of C$2.60 per Common Share, using an exchange rate of C$1.34 = US$1.00.
7. The sale price in U.S. dollars reported above was converted from the sale price expressed in Canadian dollars of C$2.60 per Common Share, using an exchange rate of C$1.33 = US$1.00.
8. The sale price in U.S. dollars reported above was converted from the sale price expressed in Canadian dollars of C$2.00 per Common Share, using an exchange rate of C$1.33 = US$1.00.
9. At the end of the fiscal year ended May 31, 2015.
10. Amount of Common Shares beneficially owned following Reported Transaction.
11. These Common Shares are owned directly by AngloGold Ashanti (U.S.A.) Exploration Inc., which is a wholly owned subsidiary of AngloGold Ashanti North America Inc., which is a wholly owned subsidiary of AngloGold Ashanti USA Incorporated, which is a wholly owned subsidiary of AngloGold Ashanti Limited. This Form 5 is being filed jointly by AngloGold Ashanti (U.S.A.) Exploration Inc. and AngloGold Ashanti Limited (together, the "Reporting Persons").
AngloGold Ashanti Limited; /s/ Kandimathie Christine Ramon; Name: Kandimathie Christine Ramon; Title: Interim Chief Executive Officer & Executive Director 07/13/2021
AngloGold Ashanti (U.S.A.) Exploration Inc.; /s/ Timothy Thompson; Name: Timothy Thompson; Title: Director & President 07/13/2021
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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