Sec Form 4 Filing - Anderson David Lawrence @ BASANITE, INC. - 2019-03-15

Insider filing report for Changes in Beneficial Ownership
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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
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Anderson David Lawrence
2. Issuer Name and Ticker or Trading Symbol
BASANITE, INC. [ BASA]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
EVP and COO
(Last) (First) (Middle)
C/O BASANITE, INC., 2041 NW 15TH AVENUE
3. Date of Earliest Transaction (MM/DD/YY)
03/15/2019
(Street)
POMPANO BEACH, FL33069
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction 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
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Warrant $ 0.075 03/15/2019 P( 1 ) 500,000 03/15/2019 03/15/2024 Common Stock 500,000 $ 0.05 ( 1 ) 500,000 D
Warrant $ 0.06 05/15/2019 X( 2 ) 500,000 05/15/2019 05/15/2024 Common Stock 500,000 $ 0.05 ( 1 ) 0 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Anderson David Lawrence
C/O BASANITE, INC.
2041 NW 15TH AVENUE
POMPANO BEACH, FL33069
EVP and COO
Signatures
/s/ David L. Anderson 05/01/2020
Signature of Reporting Person Date
Explanation of Responses:
( 1 )On March 15, 2019, the Reporting Person purchased 500,000 shares of the Issuer's common stock in a private placement at a per share purchase price of $0.05. All such shares are "restricted securities" as defined by the Securities Act of 1933, as amended (the "Securities Act"). In connection with the private placement, the Reporting Person was issued a warrant to purchase up to 500,000 shares of the Issuer's common stock at an exercise price of $0.075 (the "Warrant"). This transaction was reported in the Issuer's Form 10-Q for the period ended March 31, 2019.
( 2 )On May 15, 2019, the Reporting Person exercised the Warrant at a reduced exercise price of $0.06 for 500,000 shares of the Issuer's common stock. All such shares are "restricted securities" as defined by the Securities Act. This transaction was reported in the Issuer's Form 10-Q for the period ended June 30, 2019.

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* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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