Filing Details
- Accession Number:
- 0001354488-12-004773
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2012-09-10 17:28:22
- Reporting Period:
- 2012-01-01
- Filing Date:
- 2012-09-10
- Accepted Time:
- 2012-09-10 17:28:22
- 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 | 160 Dupont St 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 | 2012-09-06 | 100,000 | $0.02 | 17,884,907 | 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 | 2012-01-01 | 215,517 | $0.00 | 215,517 | $0.06 |
| Common Stock | Warrants | Acquisiton | 2012-04-02 | 260,417 | $0.00 | 200,417 | $0.05 |
| Common Stock | Warrants | Acquisiton | 2012-07-02 | 367,647 | $0.00 | 367,647 | $0.03 |
| Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
|---|---|---|---|---|---|---|
| 10,163,704 | 2012-01-01 | 2015-01-01 | No | 4 | A | Direct |
| 10,424,121 | 2012-04-02 | 2015-04-02 | No | 4 | A | Direct |
| 10,791,768 | 2012-07-02 | 2015-07-02 | No | 4 | A | 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 |
|---|---|---|---|---|---|---|---|
| Common Stock | Warrants | $0.00 | 0 | 95,238 | Indirect |
| Expiration Date | Amount | Remaning Holdings | Nature of Ownership |
|---|---|---|---|
| 0 | 95,238 | Indirect |
Footnotes
- In addition, Mr. Lazar owns beneficially 140,000 shares held by his wife?s IRA and 476,191 shares by reason of his 1/3 ownership of LST Partners, which owns the shares.
- Mr. Lazar owns beneficially warrants to purchase 95,238 shares of common stock by reason of his 1/3 ownership of LST Partners, which owns such warrants directly.
Billionaire Hedge Funds
