Statement of Changes in Beneficial Ownership (4)
April 28 2021 - 9:16AM
Edgar (US Regulatory)
FORM 4
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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 OF SECURITIES
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3235-0287
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
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JIMENEZ OMAR |
2. Issuer Name and Ticker or Trading Symbol
Golden Matrix Group, Inc.
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GMGI
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) CFO & Chief Compliance Officer |
(Last)
(First)
(Middle)
3651 LINDELL RD, STE D131 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
4/22/2021 |
(Street)
LAS VEGAS, NV 89103
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. 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 | 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 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 |
Stock Option (right to buy) | $9.91 | 4/22/2021 | | A | | 50000 | | (1) | 4/23/2023 | Common Stock | 50000 | $0.00 | 50000 | D | |
Explanation of Responses: |
(1) | The Reporting Person was granted options to purchase 50,000 shares of common stock, with options to purchase 25,000 shares vesting on April 22, 2021, and options to purchase 25,000 shares vesting on October 22, 2021, subject to the Reporting Person's continued service to the Issuer, pursuant to the terms of a
Consulting Agreement dated April 22, 2021. Granted under the Issuer's 2018 Equity Compensation Plan and exempt under Rule 16b-3(d). |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
JIMENEZ OMAR 3651 LINDELL RD STE D131 LAS VEGAS, NV 89103 |
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| CFO & Chief Compliance Officer |
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Signatures
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/s/ Omar Jimenez | | 4/26/2021 |
**Signature of Reporting Person | Date |