Filing Details

Accession Number:
0001140361-16-087965
Form Type:
4
Zero Holdings:
No
Publication Time:
2016-11-28 17:15:13
Reporting Period:
2016-11-23
Filing Date:
2016-11-28
Accepted Time:
2016-11-28 17:15:13
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 Shares Disposition 2016-11-23 686 $0.02 22 No 4 S Indirect Spring Forth Investments, LLC
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 S Indirect Spring Forth Investments, LLC
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Shares 3 Indirect By DRS Charitable Remainder Trust U/A/D May 5, 1993
Common Shares 4 Indirect By SBS Charitable Remainder Trust U/A/D November 27, 1995
Common Shares 1 Indirect By Bourne Spafford Charitable Remainder Trust U/A/D May 15, 1995
Common Shares 4 Indirect By DRS, LLC
Common Shares 1 Indirect By DSM Ventures
Common Shares 2 Direct
Footnotes
  1. Reflects reverse stock splits.