Filing Details

Accession Number:
0001140361-10-027739
Form Type:
4
Zero Holdings:
No
Publication Time:
2010-07-01 13:00:00
Reporting Period:
2010-06-29
Filing Date:
2010-07-01
Accepted Time:
2010-07-01 12:01:34
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
764839 Puresafe Water Systems Inc. PSWS Refrigeration & Service Industry Machinery (3580) 860515678
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1411926 Terry Lazar 25 Fairchild Ave.
Suite 250
Plainview NY 11803
Chief Financial Officer Yes Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2010-06-29 10,000 $0.13 13,306,912 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Warrants Acquisiton 2010-10-21 100,000 $0.00 100,000 $0.06
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 2009-10-21 2019-10-21 No 4 P Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 616,191 Indirect See Footnote
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Stock Warrants $0.00 95,238 0 Direct
Expiration Date Amount Remaning Holdings Nature of Ownership
95,238 0 Direct
Footnotes
  1. In addition, Mr. Lazar owns beneficially 476,191 shares of reason of his 1/3 ownership in LST Partners which owns such shares directly, and 140,00 shares held by his wife's IRA.
  2. Mr. Lazar owns benefically warrants to purchase 95,238 shares of common stock by reason of his 1/3 ownership in LST Partners, which owns such warrants directly.