SEC Form 4 · accession 0001140361-17-000550
Great Basin Scientific, Inc. · GBSN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David Spafford
Director
Period of report
Dec 31, 2016
Accepted (ET)
Jan 4, 2017 · 9:08 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001512138
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WarrantsF1 | $6.00 | Dec 31, 2016 | J | 35,564 | A | Dec 31, 2016 | Dec 30, 2020 | Common Shares | 35,564 | 35,564 | I |
| WarrantsF1 | $6.00 | Dec 31, 2016 | J | 35,564 | A | Dec 31, 2016 | Dec 30, 2020 | Common Shares | 35,564 | 35,564 | I |
Explanation of responses
- F1Exercise price is subject to adjustment pursuant to the terms of the Warrant.
- F2Warrants are being issued in connection with the terms of existing subordination warrants held indirectly by the reporting person.