Integrated Ventures (INTV) Form 5/A INTEGRATED VENTURES / Steve Rubakh ownership change

SEC Form 5

FORM 5

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

Form 3 Holdings Reported.

X

Form 4 Transactions Reported.

1. Name and Address of Reporting Person^*

Rubakh Steve

(Last) (First) (Middle)

73 BUCK RD.

SUITE 2

(Street)

HUNTINGDON VALLEY PA 19006

(City) (State) (Zip)

2. Issuer Name and Ticker or Trading Symbol
INTEGRATED VENTURES, INC. [ INTV ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	X	10% Owner
X	Officer (give title below)		Other (specify below)
CEO

3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
06/30/2019

4. If Amendment, Date of Original Filed (Month/Day/Year)
09/24/2019

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)	4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
				Amount	(A) or (D)	Price
Common Stock	04/16/2019	04/16/2019	C4	3,000,000	A	$0	4,010,557	D

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)	5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
					(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Series B Preferred Stock	$0.001	07/01/2018		4A	5,000		07/01/2018	(1)	Common Stock	500,000	$0	265,000	D
Series B Preferred Stock	$0.001	01/24/2019		4A	5,000		01/24/2019	(1)	Common Stock	500,000	$0	270,000	D
Series B Preferred Stock	$0.001	01/24/2019		4A	5,000		01/24/2019	(1)	Common Stock	500,000	$0	275,000	D
Series B Preferred Stock	$0.001	03/02/2019		4A	5,000		03/02/2019	(1)	Common Stock	500,000	$0	280,000	D
Series B Preferred Stock	$0.001	04/12/2019		4A	50,000		04/12/2019	(1)	Common Stock	5,000,000	$0	330,000	D
Series B Preferred Stock	$0.001	04/16/2019		4D		30,000(2)	04/16/2019	(1)	Common Stock	3,000,000	$0	300,000	D

Explanation of Responses:

1. N/A.

2. The 30,000 shares of Series B Preferred Stock were converted in accordance to their terms by Mr. Rubakh Into 3,000,000 shares of Restricted Common Stock.

Remarks:

	/s/ Steve Rubakh	09/24/2019
	** 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).
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