Sec Form 5 Filing - ANGLOGOLD ASHANTI LTD @ Corvus Gold Inc. - 2021-05-31

Insider filing report for Changes in Beneficial Ownership
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FORM 5
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
ANGLOGOLD ASHANTI LTD
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)
(Last) (First) (Middle)
76 RAHIMA MOOSA STREET,
3. Date of Earliest Transaction (MM/DD/YY)
05/31/2021
(Street)
NEWTOWN, JOHANNESBURG, T32001
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
_____ Form filed by One Reporting Person
__ X __ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Shares ( 1 ) 14,698,876 ( 9 ) I (See footnote) ( 11 )
Common Shares 03/11/2016 P 2,500,000 A $ 0.54 ( 2 ) 17,198,876 ( 10 ) I (See footnote) ( 11 )
Common Shares 12/07/2017 P 1,574,803 A $ 0.99 ( 3 ) 18,773,679 ( 10 ) I (See footnote) ( 11 )
Common Shares 06/05/2018 P 1,730,770 A $ 2 ( 4 ) 20,504,449 ( 10 ) I (See footnote) ( 11 )
Common Shares 06/29/2018 P 682,000 A $ 1.89 ( 5 ) 21,186,449 ( 10 ) I (See footnote) ( 11 )
Common Shares 12/20/2018 P 800,000 A $ 1.94 ( 6 ) 21,986,449 ( 10 ) I (See footnote) ( 11 )
Common Shares 08/19 /2019 P 500,000 A $ 1.96 ( 7 ) 22,486,449 ( 10 ) I (See footnote) ( 11 )
Common Shares 10/07/2019 P 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 (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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 of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
ANGLOGOLD ASHANTI LTD
76 RAHIMA MOOSA STREET
NEWTOWN, JOHANNESBURG, T32001
X
AngloGold Ashanti (U.S.A.) Exploration Inc.
4601 DTC BOULEVARD
SUITE 550
DENVER, CO80237
X
Signatures
AngloGold Ashanti Limited; /s/ Kandimathie Christine Ramon;Name: Kandimathie Christine Ramon; Title: Interim Chief Executive Officer & Executive Director 07/13/2021
Signature of Reporting Person Date
AngloGold Ashanti (U.S.A.) Exploration Inc.; /s/ Timothy Thompson; Name: Timothy Thompson; Title: Director & President 07/13/2021
Signature of Reporting Person Date
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").

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