UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 4
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
( ) Check this box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue. See Instructions 1(b).
1. Name and Address of Reporting Person
SCOTT KIRKLAND ROBERTSON
12391 DEER PARK DRIVE
NEVADA CITY, CA 95945
USA
2. Issuer Name and Ticker or Trading Symbol
ORIGINAL SIXTEEN TO ONE MINE, INC..
OAU
3. IRS or Social Security Number of Reporting Person (Voluntary)
4. Statement for Month/Year: SEPTEMBER 1999
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
Title: TREASURER
7. 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 Acquired, Disposed of, or Beneficially Owned
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1. Title of 2. Transaction 3. Transaction 4. Securities Acquired (A) 5. Amount of 6. Ownership 7. Nature of
Security Date Code or Disposed of (D) Securities Form: In-direct
Beneficially Direct (D) Beneficial
Month/Day/ Owned at End or Ownership
Year Code V Amount (A) or (D) Price of Month Indirect (I)
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C>
Common Stock 08/03/98 P 2,000 A $1.00 27,350 I Partnership
Common Stock 09/30/99 P 500 A $1.9375 27,850 I IRA
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
Not Applicable
SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, the
Registrant has duly caused this report to be signed on its behalf by the
undersigned thereunto duly authorized.
/s/Scott Kirkland Robertson
Scott Kirkland Robertson
Dated: October 14, 1999
