0001140361-16-047791.txt : 20160114 0001140361-16-047791.hdr.sgml : 20160114 20160114132631 ACCESSION NUMBER: 0001140361-16-047791 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160114 DATE AS OF CHANGE: 20160114 EFFECTIVENESS DATE: 20160114 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Great Basin Scientific, Inc. CENTRAL INDEX KEY: 0001512138 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 830361454 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-255013 FILM NUMBER: 161342503 BUSINESS ADDRESS: STREET 1: 2441 SOUTH 3850 WEST STREET 2: SUITE #A-200 CITY: WEST VALLEY CITY STATE: UT ZIP: 84119 BUSINESS PHONE: (801) 990-1055 MAIL ADDRESS: STREET 1: 2441 SOUTH 3850 WEST STREET 2: SUITE #A-200 CITY: WEST VALLEY CITY STATE: UT ZIP: 84119 D/A 1 primary_doc.xml X0707 D/A LIVE 0001512138 Great Basin Scientific, Inc. 2441 SOUTH 3850 WEST SALT LAKE CITY UT UTAH 84120 (801) 990-1055 DELAWARE None None Corporation true Ryan Ashton 2441 South 3850 West Salt Lake City UT UTAH 84120 Executive Officer Director Jeffrey Rona 2441 South 3850 West Salt Lake City UT UTAH 84120 Executive Officer Robert D. Jenison 2441 South 3850 West Salt Lake City UT UTAH 84120 Executive Officer Sandra Nielsen 2441 South 3850 West Salt Lake City UT UTAH 84120 Executive Officer Wesley C. Lindsey 2441 South 3850 West Salt Lake City UT UTAH 84120 Executive Officer Walter Hammond 2441 South 3850 West Salt Lake City UT UTAH 84120 Executive Officer Ronald K. Labrum 2441 South 3850 West Salt Lake City UT UTAH 84120 Director Sam Chawla 2441 South 3850 West Salt Lake City UT UTAH 84120 Director David Spafford 2441 South 3850 West Salt Lake City UT UTAH 84120 Director Kirk K. Calhoun 2441 South 3850 West Salt Lake City UT UTAH 84120 Director Other Health Care Decline to Disclose 06b true 0001140361-16-047658 2015-12-28 false true true true true Senior secured convertible notes and Series D warrants. false 0 Roth Capital Partners, LLC 15407 None None 888 San Celmente, Suite 400 Newport Beach CA CALIFORNIA 92660 CA CALIFORNIA NJ NEW JERSEY NY NEW YORK false 26980765 20500000 6480765 b) represents OID notes of $22.1M; $20M for cash & $2.1M in exchange for outstanding wts; 25% of proceeds rec'd at closing; 75% released on satisfaction of funding conditions; c) represents exercise price of wts at $1.85 (subject to adjustment) false 7 1547000 0 Commission to be paid as follows: 25% at closing; 75% upon satisfaction of certain funding conditions. 0 false Great Basin Scientific, Inc. /s/ Jeffrey Rona Jeffrey Rona Chief Financial Officer 2016-01-13