0001096906-17-000141.txt : 20170307
0001096906-17-000141.hdr.sgml : 20170307
20170307141430
ACCESSION NUMBER: 0001096906-17-000141
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20170307
DATE AS OF CHANGE: 20170307
EFFECTIVENESS DATE: 20170307
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: GROTE MOLEN INC
CENTRAL INDEX KEY: 0001456212
STANDARD INDUSTRIAL CLASSIFICATION: HOUSEHOLD APPLIANCES [3630]
IRS NUMBER: 000000000
STATE OF INCORPORATION: NV
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-281956
FILM NUMBER: 17671486
BUSINESS ADDRESS:
STREET 1: 322 WEST GRIFFITH ROAD
CITY: POCATELLO
STATE: ID
ZIP: 83201
BUSINESS PHONE: 208-234-9352
MAIL ADDRESS:
STREET 1: 322 WEST GRIFFITH ROAD
CITY: POCATELLO
STATE: ID
ZIP: 83201
D
1
primary_doc.xml
X0707
D
LIVE
0001456212
GROTE MOLEN INC
10615 Professional Circle, Suite 201
RENO
NV
NEVADA
89521
855-807-8776
NEVADA
None
None
Corporation
true
Robert
Graham
10615 Professional Circle, Suite 201
Reno
NV
NEVADA
89521
Executive Officer
Director
John
B
Hofman
322 West Griffith Road
Pocatello
ID
IDAHO
83201
Director
Mr. Hofman has resigned as a director effective upon the expiration of the 10-day period following the filing and mailing of the issuer's 14f-1 information statement.
John
Hayes
10615 Professional Circle, Suite 201
Reno
NV
NEVADA
89521
Executive Officer
Director
Mr. Hayes has been appointed as a director effective upon the expiration of the 10-day period following the filing and mailing of the issuer's 14f-1 information statement.
Robert
Lentz
10615 Professional Circle, Suite 201
Reno
NV
NEVADA
89521
Director
Mr. Lentz has been appointed as a director effective upon the expiration of the 10-day period following the filing and mailing of the issuer's 14f-1 information statement.
Other
$1,000,001 - $5,000,000
- 06b
false
2017-02-22
false
true
true
The issuer issued 3,783,791 shares of its Series A Preferred and 12,825,683 shares of its Common Stock in exchange for all issued and outstanding shares of capital stock of Blackridge Technology Holdings, Inc.
0
23985500
23985500
0
The offering amount is estimated based on most recent offering prices for Blackridge Preferred Stock ($6.00) and the issuer's Units ($0.10). The amount is not readily determinable because there is no liquid trading market for the issuer's securities.
true
23
133
0
0
0
The offering involved the exchange of securities in a business combination transaction and no cash proceeds were received by the issuer.
false
GROTE MOLEN INC
/s/ Robert Graham
Robert Graham
President
2017-02-27