- Initial Statement of Beneficial Ownership (3)
06 Januar 2010 - 12:05AM
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
Expires:
February 28, 2011
Estimated average burden
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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
*
BELANGER A DOUGLAS
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2. Date of Event Requiring Statement (MM/DD/YYYY)
1/1/2010
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3. Issuer Name
and
Ticker or Trading Symbol
GOLD RESERVE INC [GRZ]
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(Last)
(First)
(Middle)
C/O GOLD RESERVE CORP, 926 W. SPRAGUE AVENUE, SUITE 200
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
__
X
__ Director
_____ 10% Owner
___
X
___ Officer (give title below)
_____ Other (specify below)
President /
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(Street)
SPOKANE, WA 99201
(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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Class A Common Shares
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1626136
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D
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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 Options
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(1)
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10/27/2011
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Class A Common Shares
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75000
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$4.0308
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D
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Stock Options
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(2)
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11/16/2011
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Class A Common Shares
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50000
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$4.6184
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D
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Stock Options
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(3)
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11/24/2011
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Class A Common Shares
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75000
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$5.0737
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D
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Stock Options
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(4)
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11/29/2011
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Class A Common Shares
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50000
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$5.2442
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D
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Stock Options
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12/4/2007
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5/27/2010
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Class A Common Shares
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45833
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$4.834
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D
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Stock Options
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12/4/2007
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11/27/2010
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Class A Common Shares
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45833
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$4.834
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D
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Stock Options
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12/4/2007
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5/27/2011
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Class A Common Shares
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45833
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$4.834
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D
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Stock Options
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(5)
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12/5/2013
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Class A Common Shares
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213336
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$0.29
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D
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Stock Options
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3/18/2010
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3/18/2014
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Class A Common Shares
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65000
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$0.73
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D
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Explanation of Responses:
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(
1)
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Subject to quarterly vesting over a two year period from grant date of October 27, 2006. Options are fully vested.
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(
2)
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Subject to quarterly vesting over a two year period from grant date of November 16, 2006. Options are fully vested.
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(
3)
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Subject to quarterly vesting over a two year period from grant date of November 24, 2006. Options are fully vested.
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(
4)
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Subject to quarterly vesting over a two year period from grant date of November 29, 2006. Options are fully vested.
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(
5)
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One-third vest upon grant date of December 5, 2008 and the remaining vest annually over a two year period.
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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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BELANGER A DOUGLAS
C/O GOLD RESERVE CORP
926 W. SPRAGUE AVENUE, SUITE 200
SPOKANE, WA 99201
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X
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President
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Signatures
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/s/ David P. Onzay attorney in fact for A. Douglas Belanger
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1/5/2010
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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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