- Initial Statement of Beneficial Ownership (3)
July 13 2010 - 6:02PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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February 28, 2011
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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
*
Gross Michael
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2. Date of Event Requiring Statement (MM/DD/YYYY)
6/25/2010
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3. Issuer Name
and
Ticker or Trading Symbol
Brigus Gold Corp. [BRD]
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(Last)
(First)
(Middle)
6000 BILTON LANE
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
__
X
__ Director
_____ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Street)
HALIFAX, A5 B3H 4M3
(City)
(State)
(Zip)
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5. 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 Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Common Stock
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650335
(1)
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D
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Common Stock
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78007
(1)
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I
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by 3076101 NS Ltd
(2)
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Common Stock
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250034
(1)
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I
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by 548229 Alberta
(2)
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Common Stock
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27371
(1)
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I
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by Material Welding & Joining
(2)
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Common Stock
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558505
(1)
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I
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by MMP Investments
(2)
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Common Stock
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3832
(1)
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I
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by trust
(3)
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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. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Stock Option (Right to Buy)
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6/25/2010
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1/9/2013
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Common Stock
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68428
(1)
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$2.20
(4)
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D
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Stock Option (Right to Buy)
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6/25/2010
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2/6/2014
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Common Stock
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68428
(1)
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$0.76
(4)
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D
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Stock Option (Right to Buy)
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6/25/2010
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7/29/2014
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Common Stock
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27371
(1)
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$1.00
(4)
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D
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Explanation of Responses:
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(
1)
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Shares reported represent the reporting person's share ownership following the implementation of a four for one reverse stock
split effected by the issuer on June 25, 2010.
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(
2)
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Shares reported are held by entities organized under the laws of Canada, each of which is owned or controlled by the
reporting person.
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(
3)
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Shares reported are held in trust for the benefit of the reporting person's son.
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(
4)
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Exercise prices reflected in this column are Canadian dollars.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Gross Michael
6000 BILTON LANE
HALIFAX, A5 B3H 4M3
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X
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Signatures
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/s/ Melvyn Williams as Attorney-in fact for Michael Gross
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7/13/2010
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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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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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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