WITS BASIN PRECIOUS MINERALS INC
Reported by
NOBLE MINERAL EXPLORATION, INC.
FORM 4
(Statement of Changes in Beneficial Ownership)
Filed 12/02/03 for the Period Ending 09/09/03
Address
Telephone
CIK
SIC Code
Industry
Sector
Fiscal Year
80 SOUTH 8TH STREET
SUITE 900
MINNEAPOLIS, MN 55402
(612)349-5277
0000912875
1040 - Gold And Silver Ores
Integrated Mining
Basic Materials
12/31
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FORM 4
[ ] 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
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response... 0.5
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or
Section 30(h) of the Investment Company Act of 1940
1. Name and Address of Reporting Person *
2. Issuer Name and Ticker or Trading Symbol
HAWK PRECIOUS MINERALS USA
INC
WITS BASIN PRECIOUS MINERALS
INC [ WITM ]
(Last)
(First)
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
3. Date of Earliest Transaction (MM/DD/YYYY)
(Middle)
(Street)
_____ Other (specify below)
4. If Amendment, Date Original Filed (MM/DD/YYYY) 6. Individual or Joint/Group Filing (Check Applicable Line)
TORONTO, A6 M5H 2R7
(State)
__ X __ 10% Owner
_____ Officer (give title below)
9/9/2003
404-347 BAY STREET
(City)
_____ Director
___ Form filed by One Reporting Person
_ X _ Form filed by More than One Reporting Person
(Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Trans. Date 2A. Deemed
Execution
Date, if any
3. Trans. Code
(Instr. 8)
Code
4. Securities Acquired (A) 5. Amount of Securities Beneficially Owned
or Disposed of (D)
Following Reported Transaction(s)
(Instr. 3, 4 and 5)
(Instr. 3 and 4)
V
Amount
(A) or
(D)
Price
6.
Ownership
Form:
Direct (D)
or Indirect
(I) (Instr.
4)
Common Stock, $.01 par value
9/9/2003
J (1)
1250000
D
(2)
2500000
D
Common Stock, $.01 par value
11/7/2003
C
2500000
A
(3)
5000000
D
7. Nature
of Indirect
Beneficial
Ownership
(Instr. 4)
Table II - Derivative Securities Beneficially Owned ( e.g.
, puts, calls, warrants, options, convertible securities)
1. Title of Derivate 2.
Security
Conversion
(Instr. 3)
or Exercise
Price of
Derivative
Security
3. Trans.
Date
3A. Deemed 4. Trans.
Execution
Code
Date, if any (Instr. 8)
Code
Option obligation to
acquire securities
(3)
11/7/2003
5. Number of
6. Date Exercisable and
Derivative Securities Expiration Date
Acquired (A) or
Disposed of (D)
(Instr. 3, 4 and 5)
V
(A)
C
(D)
2500000
7. Title and Amount of
Securities Underlying
Derivative Security
(Instr. 3 and 4)
Date
Expiration
Title
Exercisable Date
6/26/2003
11/7/2003
Common
Stock, $.01
par value
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)
$0
0
D
Amount or
Number of
Shares
0
11. Nature
of Indirect
Beneficial
Ownership
(Instr. 4)
Explanation of Responses:
(1) Stock in consideration for certain services rendered to the Reporting Person.
(2) The market price of the stock on this date was $0.71.
(3) In exchange for the remaining 50% interest of Hawk Precious Minerals Inc. in Active Hawk Minerals, LLC, a joint venture between Hawk Precious Minerals
Inc. and Wits Basin Precious Minerals Inc.
Reporting Owners
Reporting Owner Name / Address
HAWK PRECIOUS MINERALS USA INC
404-347 BAY STREET
TORONTO, A6 M5H 2R7
HAWK PRECIOUS MINERALS INC
404-347 BAY STREET
TORONTO, A6 M5H 2R7
Relationships
Director 10% Owner Officer Other
X
X
Signatures
/s/ H. Vance White, CEO of Hawk Precious Minerals USA Inc.
12/2/2003
** Signature of Reporting Person
Date
/s/ H. Vance White, Chief Executive Officer
12/2/2003
** Signature of Reporting Person
Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
*
If the form is filed by more than one reporting person, see
Instruction 4(b)(v).
**
Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note:
File three copies of this Form, one of which must be manually signed. If space is insufficient, see
Instruction 6 for procedure.
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.