UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 5
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
( ) Check box if no longer subject to Section 16.
Form 4 or Form 5 obligations may continue. See Instructions 1(b).
( ) Form 3 Holdings Reported
(X) Form 4 Transactions Reported
1. Name and Address of Reporting Person
HERRON, HAROLD F.
877 NORTH 8TH WEST
RIVERTON, WY 82501
USA
2. Issuer Name and Ticker or Trading Symbol
NORTHWEST GOLD, INC.
(NWG)
3. IRS or Social Security Number of Reporting Person (Voluntary)
4. Statement for Month/Year
MAY 31, 2000
5. If Amendment, Date of Original (Month/Year)
6. Relationship of Reporting Person(s) to Issuer (Check all applicable)
(X) Director ( ) 10% Owner (X) Officer (give title below) ( ) Other
(specify below)
PRESIDENT
7. Individual or Joint/Group Reporting (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 Acquired, Disposed of, or Beneficially Owned |
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1. Title of Security |2. |3. |4.Securities Acquired (A) |5.Amount of |6.Dir |7.Nature of Indirect |
|Transaction| or Disposed of (D) | Securities |ect | Beneficial Ownership |
|Date |Code| | Beneficially |(D)or | |
| | | | A/| | Owned at |Indir | |
| | | Amount | D | Price | End of Year |ect(I)| |
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
$.001 Par Value Common Sto|04/03/|J-4(|551,925 |D |NIL |5,575 |D | |
ck |00 |a) | | | | | | |
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$.001 Par Value Common Sto|05/31/|J-4(|7,309,794 |A |NIL |7,562,219 |I (c) |By USE |
ck |00 |b) | | | | | | |
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Table II -- Derivative Securitites Acquired, Disposed of, or Beneficially Owned |
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1.Title of Derivative |2.Con |3. |4. |5.Number of De |6.Date Exer|7.Title and Amount |8.Price|9.Number |10.|11.Nature of|
Security |version |Transaction rivative Secu |cisable and| of Underlying |of Deri|of Deriva |Dir|Indirect |
|or Exer |Date |Code| rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial |
|cise Pr | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership |
|ice of | | | posed of(D) |Day/Year) | |rity |Benefi |or | |
|Deriva | | | |Date |Expir| | |ficially |Ind| |
|tive | | | | A/|Exer-|ation| Title and Number | |Owned at |ire| |
|Secu | | | | D |cisa-|Date | of Shares | |End of |ct | |
|rity | | | Amount | |ble | | | |Year |(I)| |
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
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Explanation of Responses:
(a) The reported transaction is a result of a reverse stock split on a 1 for
100 basis. Reporting of the transaction
is not required, however the Registrant has undertaken comprehensive reporting
and desires to have all share
ownership records consistent. This transaction is reported on a voluntary
options basis by the Reporting Person.
(b) Shares received in lieu of payment of
debt.
(c) Consists of shares held by U.S. Energy Corp. ("USEG"), the majority
shareholder of NWG. The Reporting
Person is an officer and director of both USEG and NWG. The Reporting Person
is not a controlling shareholder of
USE, and therefore the Reporting Person does not have a pecuniary interest in
the NWG shares held by USE,
under Rule 16a-1(a)(2)(iii). The Reporting Person disclaims beneficial and
pecuniary interest in these shares.
NOTE: Pursuant to SEC Rule 16a-1(a)(2), information on USE is not required,
however, Registrant has
undertaken
comprehensive
disclosure and reports shares held by USE as indirectly owned by
the Reporting Person.
SIGNATURE OF REPORTING PERSON
/s/ HAROLD F. HERRON
DATE
July 25, 2000
