Sec Form 4 Filing - PURI POONAM @ AUGUSTA GOLD CORP. - 2021-03-04

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
PURI POONAM
2. Issuer Name and Ticker or Trading Symbol
AUGUSTA GOLD CORP. [ AUGG]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
C/O AUGUSTA GOLD CORP., SUITE 555, 999 CANADA PLACE
3. Date of Earliest Transaction (MM/DD/YY)
03/04/2021
(Street)
VANCOUVER, A1V6C 3E1
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
Common Shares 03/04/2021 P 44,444 A $ 1.78 ( 1 ) 44,444 D
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
Warrants $ 2.22 ( 2 ) 03/04/2021 P 22,222 03/04/2021 03/04/2024 Common Shares 22,222 ( 3 ) 22,222 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
PURI POONAM
C/O AUGUSTA GOLD CORP.
SUITE 555, 999 CANADA PLACE
VANCOUVER, A1V6C 3E1
X
Signatures
/s/ Susy Horna as attorney-in-fact for Poonam Puri 03/05/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Converted from the Canadian purchase price of C$2.25 using an exchange rate of C$1.2637 = US$1.00.
( 2 )Converted from the Canadian exercise price of C$2.80 using an exchange rate of C$1.2637 = US$1.00.
( 3 )The warrants were purchased as part of a unit offering, each unit consisting of one common share and one-half of one common share purchase warrant, at a price of C$2.25 per unit.

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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