0001591408-15-000008.txt : 20150804 0001591408-15-000008.hdr.sgml : 20150804 20150804121404 ACCESSION NUMBER: 0001591408-15-000008 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150804 DATE AS OF CHANGE: 20150804 EFFECTIVENESS DATE: 20150804 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SIYATA MOBILE INC CENTRAL INDEX KEY: 0001649009 IRS NUMBER: 000000000 STATE OF INCORPORATION: A1 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-245041 FILM NUMBER: 151024643 BUSINESS ADDRESS: STREET 1: 592 SHEPARD AVENUE WEST, UNIT 551 CITY: TORONTO STATE: A6 ZIP: M3H 6A7 BUSINESS PHONE: 604-691-6100 MAIL ADDRESS: STREET 1: 885 WEST GEORGIA STREET, SUITE 2200 CITY: VANCOUVER STATE: A1 ZIP: V6C 3E8 D 1 primary_doc.xml X0707 D LIVE 0001649009 SIYATA MOBILE INC 592 SHEPPARD AVENUE WEST, UNIT 551 TORONTO A6 ONTARIO, CANADA M3H 6A7 888-316-3747 BRITISH COLUMBIA, CANADA None None Corporation true 2015 GIL GURFINKEL 23 MENACHEM BEGIN ROAD 23RD FLOOR, LEVINSTEIN TOWER TEL-AVIV L3 ISRAEL 66182 Executive Officer Director PRESIDENT Other Technology Decline to Disclose 06b false 2015-07-20 false true SUBSCRIPTION RECEIPTS EACH CONVERTIBLE INTO ONE COMMON SHARE AND ONE HALF OF ONE SHARE PURCHASE WARRANT OF THE ISSUER, UPON THE OCCURRENCE OF CERTAIN EVENTS. true THE SUBSCRIPTION RECEIPTS ARE BEING OFFERED IN CONNECTION WITH A PROPOSED REVERSE TAKE-OVER TRANSACTION BETWEEN THE ISSUER AND TESLIN RIVER RESOURCES CORP. 0 HAYWOOD SECURITIES INC. None HAYWOOD SECURITIES (USA) INC. 42077 200 BURRARD STREET, SUITE 700 VANCOUVER A1 BRITISH COLUMBIA, CANADA V6C 3L6 FL FLORIDA false 97000 97000 0 NUMBER SOLD: 420,000 SUBSCRIPTION RECEIPTS FOR AN AGGREGATE PURCHASE PRICE OF $126,000CDN ($97,000 USD). false 2 6790 true 0 0 false SIYATA MOBILE INC /s/ GIL GURFINKEL GIL GURFINKEL PRESIDENT 2015-07-29