SEC Form 4 · accession 0001553350-19-000193

BASANITE, INC. · BASA

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Director

Period of report

Feb 27, 2019

Accepted (ET)

Mar 7, 2019 · 12:30 pm EST

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001448705

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock^F1	Feb 27, 2019	P$0	1,000,000	—	A	3,400,000	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Common Stock Warrant^F1	$0.075	Feb 27, 2019	A	666,667	A	Feb 27, 2019	Feb 27, 2024	Common Stock	666,667	666,667	D

F1The Reporting Person purchased these shares of common stock for an aggregate purchase price of $50,000, or $0.05 per share, directly from the Issuer in a private transaction. All such shares are "restricted securities" as such term is defined by the Securities Act of 1933, as amended. Additionally, and as part of the transaction, the Reporting Person received a Common Stock Warrant to purchase up to 666,667 shares of common stock at a per share exercise price of $0.075 (the "Warrant"). The Warrant may be exercised from the date of issuance until February 27, 2024. All shares of common stock underlying the Warrant are "restricted securities" as such term is defined by the Securities Act of 1933, as amended.