SEC Form 4 · accession 0001140361-15-033219
Great Basin Scientific, Inc. · GBSN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David Spafford
Director
Period of report
Aug 21, 2015
Accepted (ET)
Aug 24, 2015 · 4:02 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001512138
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Aug 21, 2015 | P | 6,665 | $1.467 | A | 363,665 | I | By Spring Forth Investments, LLC |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series E Convertible Preferred StockF2,F1 | — | Aug 21, 2015 | P | 585 | A | Aug 25, 2015 | — | Common Stock | 2,340 | 23,090 | I |
| Series C Common Stock WarrantsF2 | $2.55 | Aug 21, 2015 | P | 4,680 | A | Aug 25, 2015 | Feb 25, 2020 | Common Stock | 4,680 | 170,680 | I |
Explanation of responses
- F1Each share of Series E Convertible Preferred Stock is convertible into four shares of common stock and has no expiration date.
- F2The reported securities are included within 585 Units purchased by the reporting person for $16.99 per Unit. Each Unit consists of one share of Series E Convertible Preferred Stock, which is convertible into four shares of common stock, and eight Series C Warrants.