o None
Entity Type
0001517648
2248964 Ontario Inc.
 
x Corporation
o Limited Partnership
o Limited Liability Company
o General Partnership
o Business Trust
o Other
Name of Issuer
 Black Iron Inc.
Jurisdiction of Incorporation/Organization
ONTARIO, CANADA
 
Year of Incorporation/Organization
  x Over Five Years Ago
  o Within Last Five Years (Specify Year)  
  o Yet to Be Formed  



2. Principal Place of Business and Contact Information
Name of Issuer  
 Black Iron Inc.  
Street Address 1 Street Address 2
 65 QUEEN STREET WEST  SUITE 800
City State/Province/Country ZIP/Postal Code Phone No. of Issuer
 TORONTO  ONTARIO, CANADA  M5H 2M5  416-309-2138 



3. Related Persons
Last Name First Name Middle Name
Simpson Matt
Street Address 1 Street Address 2
65 QUEEN STREET WEST SUITE 800
City State/Province/Country ZIP/Postal Code
TORONTO ONTARIO, CANADA M5H 2M5
Relationship: x Executive Officer x Director o Promoter
Clarification of Response (if Necessary)
   
Last Name First Name Middle Name
Kwasik Les
Street Address 1 Street Address 2
65 QUEEN STREET WEST SUITE 800
City State/Province/Country ZIP/Postal Code
TORONTO ONTARIO, CANADA M5H 2M5
Relationship: x Executive Officer o Director o Promoter
Clarification of Response (if Necessary)
   
Last Name First Name Middle Name
Bozoki Paul
Street Address 1 Street Address 2
65 QUEEN STREET WEST SUITE 800
City State/Province/Country ZIP/Postal Code
TORONTO ONTARIO, CANADA M5H 2M5
Relationship: x Executive Officer o Director o Promoter
Clarification of Response (if Necessary)
   
Last Name First Name Middle Name
Humphrey Bruce
Street Address 1 Street Address 2
65 QUEEN STREET WEST SUITE 800
City State/Province/Country ZIP/Postal Code
TORONTO ONTARIO, CANADA M5H 2M5
Relationship: o Executive Officer x Director o Promoter
Clarification of Response (if Necessary)
   
 
Last Name First Name Middle Name
Porter Dave
Street Address 1 Street Address 2
65 QUEEN STREET WEST SUITE 800
City State/Province/Country ZIP/Postal Code
TORONTO ONTARIO, CANADA M5H 2M5
Relationship: o Executive Officer x Director o Promoter
Clarification of Response (if Necessary)
   
Last Name First Name Middle Name
Detmold John
Street Address 1 Street Address 2
65 QUEEN STREET WEST SUITE 800
City State/Province/Country ZIP/Postal Code
TORONTO ONTARIO, CANADA M5H 2M5
Relationship: o Executive Officer x Director o Promoter
Clarification of Response (if Necessary)
   
Last Name First Name Middle Name
Pettigrew Pierre
Street Address 1 Street Address 2
65 QUEEN STREET WEST SUITE 800
City State/Province/Country ZIP/Postal Code
TORONTO ONTARIO, CANADA M5H 2M5
Relationship: o Executive Officer x Director o Promoter
Clarification of Response (if Necessary)
   
 


4. Industry Group
o Agriculture   Health Care o Retailing
  Banking & Financial Services   o Biotechnology o Restaurants
  o Commercial Banking   o Health Insurance   Technology
  o Insurance   o Hospitals & Physicians   o Computers
  o Investing   o Pharmaceuticals   o Telecommunications
  o Investment Banking   o Other Health Care   o Other Technology
  o Pooled Investment Fund

         Travel
  o Other Banking & Financial Services o Manufacturing   o Airlines & Airports
  Real Estate   o Lodging & Conventions
  o Commercial   o Tourism & Travel Services
  o Construction   o Other Travel
  o REITS & Finance x Other
  o Residential  
  o Other Real Estate  
o Business Services  
  Energy  
  o Coal Mining  
  o Electric Utilities  
  o Energy Conservation  
  o Environmental Services  
  o Oil & Gas  
  o Other Energy  


5. Issuer Size
Revenue Range Aggregate Net Asset Value Range
o No Revenues o No Aggregate Net Asset Value
o $1 - $1,000,000 o $1 - $5,000,000
o $1,000,001 - $5,000,000 o $5,000,001 - $25,000,000
o $5,000,001 - $25,000,000 o $25,000,001 - $50,000,000
o $25,000,001 - $100,000,000 o $50,000,001 - $100,000,000
o Over $100,000,000 o Over $100,000,000
x Decline to Disclose o Decline to Disclose
o Not Applicable o Not Applicable


6. Federal Exemption(s) and Exclusion(s) Claimed (select all that apply)
o Rule 504(b)(1) (not (i), (ii) or (iii)) o Rule 505
o Rule 504 (b)(1)(i) x Rule 506(b)
o Rule 504 (b)(1)(ii) o Rule 506(c)
o Rule 504 (b)(1)(iii) o Securities Act Section 4(a)(5)
  o Investment Company Act Section 3(c)

7. Type of Filing
x New Notice Date of First Sale  2019-09-27 o First Sale Yet to Occur
o Amendment

8. Duration of Offering
Does the Issuer intend this offering to last more than one year? o Yes x No

9. Type(s) of Securities Offered (select all that apply)
o Pooled Investment Fund Interests o Equity
o Tenant-in-Common Securities x Debt
o Mineral Property Securities o Option, Warrant or Other Right to Acquire Another Security
x Security to be Acquired Upon Exercise of Option, Warrant or Other Right to Acquire Security x Other (describe)
  Convertible debenture consisting of (i) a principal amount of CAD$2.25 million (ii) a pre-paid interest amount of CAD$450,000 and (iii) 13,081,395 warrants exercisable for a term of 48 months at an exercise price of CAD$0.11 per share.


10. Business Combination Transaction
Is this offering being made in connection with a business combination transaction, such as a merger, acquisition or exchange offer? o Yes x No
 
Clarification of Response (if Necessary)  
  

11. Minimum Investment
Minimum investment accepted from any outside investor $ 0 USD

12. Sales Compensation
Recipient Recipient CRD Number o None
   
(Associated) Broker or Dealer o None (Associated) Broker or Dealer CRD Number o None
   
Street Address 1 Street Address 2
   
City State/Province/Country ZIP/Postal Code
     
State(s) of Solicitation o All States
 
 



13. Offering and Sales Amounts
Total Offering Amount $ 3124082 USD o Indefinite
Total Amount Sold $ 2037960 USD  
Total Remaining to be Sold $ 1086122 USD o Indefinite
 
Clarification of Response (if Necessary)
 Convertible debenture consisting of (i) a principal amount of CAD$2.25 million (ii) a pre-paid interest amount of CAD$450,000 and (iii)13,081,395 warrants exercisable for a term of 48 months at an exercise price of CAD$0.11 per share.


14. Investors
o Select if securities in the offering have been or may be sold to persons who do not qualify as accredited investors,
Number of such non-accredited investors who already have invested in the offering
  
  Regardless of whether securities in the offering have been or may be sold to persons who do not qualify as accredited investors, enter the total number of investors who already have invested in the offering: 1


15. Sales Commissions & Finders' Fees Expenses
Provide separately the amounts of sales commissions and finders' fees expenses, if any. If the amount of an expenditure is not known, provide an estimate and check the box next to the amount.
Sales Commissions $ 0 USD o Estimate
Finders' Fees $ 0 USD o Estimate
 
Clarification of Response (if Necessary)
  


16. Use of Proceeds
Provide the amount of the gross proceeds of the offering that has been or is proposed to be used for payments to any of the persons required to be named as executive officers, directors or promoters in response to Item 3 above. If the amount is unknown, provide an estimate and check the box next to the amount.
  $ 0 USD o