SEC Form 5 · accession 0001127855-17-000123
PureBase Corp · PUBC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
A Scott Dockter
Officer — CEO · Director · 10% Owner
Period of report
Nov 30, 2016
Accepted (ET)
May 4, 2017 · 2:22 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001575858
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, par $0.001 | Oct 31, 2015 | G | 1,686,547 | $0.00 | D | 44,763,297 | D | |
| Common Stock, par $0.001 | Dec 30, 2015 | G | 10,000 | $0.00 | D | 44,763,297 | D | |
| Common Stock, par $0.001 | Jun 14, 2016 | G | 500,000 | $0.00 | D | 44,763,297 | D | |
| Common Stock, par $0.001 | Nov 1, 2016 | G | 952,380 | $0.00 | D | 44,763,297 | D |
Table II — derivative securities
No Table II lines on this filing.