Filing Details

Accession Number:
0001140361-15-033219
Form Type:
4
Zero Holdings:
No
Publication Time:
2015-08-24 16:02:54
Reporting Period:
2015-08-21
Filing Date:
2015-08-24
Accepted Time:
2015-08-24 16:02:54
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1512138 Great Basin Scientific Inc. GBSN Surgical & Medical Instruments & Apparatus (3841) 830361454
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1620917 David Spafford C/o Great Basin Scientific, Inc.
2441 South 3850 West
Salt Lake City UT 84120
Yes No 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 2015-08-21 6,665 $1.47 363,665 No 4 P Indirect By Spring Forth Investments, LLC
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect By Spring Forth Investments, LLC
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series E Convertible Preferred Stock Acquisiton 2015-08-21 585 $0.00 2,340 $0.00
Common Stock Series C Common Stock Warrants Acquisiton 2015-08-21 4,680 $0.00 4,680 $2.55
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
23,090 2015-08-25 No 4 P Indirect
170,680 2015-08-25 2020-02-25 No 4 P Indirect
Footnotes
  1. Each share of Series E Convertible Preferred Stock is convertible into four shares of common stock and has no expiration date.
  2. The 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.