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BASA Basanite Inc (QB)

0.0107
0.0007 (7.00%)
03 May 2024 - Closed
Delayed by 15 minutes
Share Name Share Symbol Market Type
Basanite Inc (QB) USOTC:BASA OTCMarkets Common Stock
  Price Change % Change Share Price Bid Price Offer Price High Price Low Price Open Price Shares Traded Last Trade
  0.0007 7.00% 0.0107 0.0094 0.012 0.012 0.0107 0.0119 67,106 21:00:31

Statement of Changes in Beneficial Ownership (4)

23/11/2020 11:02pm

Edgar (US Regulatory)


FORM 4 [ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).         
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
                                                                                  
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response...
0.5                       
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
                      

1. Name and Address of Reporting Person *

Sallarulo Paul M.
2. Issuer Name and Ticker or Trading Symbol

BASANITE, INC. [ BASA ]
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)

__X__ Director                    _____ 10% Owner
_____ Officer (give title below)    _____ Other (specify below)
(Last)          (First)          (Middle)

2521 NE 48TH STREET
3. Date of Earliest Transaction (MM/DD/YYYY)

11/19/2020
(Street)

LIGHTHOUSE POINT, FL 33064
(City)        (State)        (Zip)
4. If Amendment, Date Original Filed (MM/DD/YYYY)

 
6. Individual or Joint/Group Filing (Check Applicable Line)

_X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Trans. Date 2A. Deemed Execution Date, if any 3. Trans. Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 11/19/2020  X(1)  2000000 A$0.0375 5584493 D  

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security3. Trans. Date3A. Deemed Execution Date, if any4. Trans. Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
6. Date Exercisable and Expiration Date7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)11. Nature of Indirect Beneficial Ownership (Instr. 4)
CodeV(A)(D)Date ExercisableExpiration DateTitleAmount or Number of Shares
Warrant $0.0375 11/19/2020  X (1)    2000000  3/15/2019 3/15/2024 Common Stock 2000000 $0.0375 0 D  

Explanation of Responses:
(1) On November 19, 2020, the Reporting Person converted a Common Stock Warrant dated March 15, 2019 (the "Warrant") for 2,000,000 shares of the Issuer's common stock at a per share exercise price of $0.0375, or an aggregate exercise price of $75,000. The Warrant had an initial exercise price of $0.075. All shares of common stock issued pursuant to the exercise are "restricted securities" as defined by the Securities Act of 1933, as amended.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director10% OwnerOfficerOther
Sallarulo Paul M.
2521 NE 48TH STREET
LIGHTHOUSE POINT, FL 33064
X



Signatures
/s/ Paul M. Sallarulo11/23/2020
**Signature of Reporting PersonDate

1 Year Basanite (QB) Chart

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