Sec Form 4 Filing - Hayes Monique D @ NEW JERSEY MINING CO - 2020-02-20

Insider filing report for Changes in Beneficial Ownership
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FORM 4
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
Hayes Monique D
2. Issuer Name and Ticker or Trading Symbol
NEW JERSEY MINING CO [ NJMC]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Corporate Secretary
(Last) (First) (Middle)
11115 E. MONTGOMERY, SUITE G
3. Date of Earliest Transaction (MM/DD/YY)
02/20/2020
(Street)
SPOKANE VALLEY, WA99206
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ 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
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
Convertible promissory note $ 0.18 02/20/2020 P 138,888.89 ( 1 ) 02/18/2023 Common stock 138,888.89 $ 25,000 338,688.89 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Hayes Monique D
11115 E. MONTGOMERY
SUITE G
SPOKANE VALLEY, WA99206
Corporate Secretary
Signatures
/s/ Monique Hayes 02/21/2020
Signature of Reporting Person Date
Explanation of Responses:
( 1 )See Note 1

Remarks:
Note 1. The Reporting Person may exercise the option to convert thePromissory Note into shares of Common Stock either (a) no later thanthirty (30) days prior to the Expiration Date (01/19/2023), or (b)upon: (i) the merger or consolidation of the Issuer with or into anotherentity by means of any transaction or series of related transactions towhich the Issuer is party other than a transaction or series of transactionsin which the holders of the voting securities of the Issuer outstandingimmediately prior to such transaction retain, immediately after suchtransaction or series of transactions, as a result of shares in the Issuerheld by such holders prior to such transaction, at least a majority of thetotal voting power represented by the outstanding voting securities of theIssuer or such other surviving or resulting entity (or if the Issuer or suchother surviving or resulting entity is a wholly- owned subsidiary immediatelyfollowing such acquisition, its parent); or (i) the dissolution of the Issuer following a sale, lease or other disposition of all or substantially all ofthe assets of the Issuer and its subsidiaries taken as a whole (including anexclusive license to a third party of the Issuer's core technology) by meansof any transaction or series of related transactions, except where such sale,lease or other disposition is to a wholly-owned subsidiary of the Issuer.

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).
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