0001140361-16-072399.txt : 20160713 0001140361-16-072399.hdr.sgml : 20160713 20160713154624 ACCESSION NUMBER: 0001140361-16-072399 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160713 DATE AS OF CHANGE: 20160713 EFFECTIVENESS DATE: 20160713 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 SEC ACT: 1933 Act SEC FILE NUMBER: 021-266909 FILM NUMBER: 161765638 BUSINESS ADDRESS: STREET 1: 420 E. SOUTH TEMPLE STREET 2: SUITE 520 CITY: SALT LAKE CITY STATE: UT ZIP: 84111 BUSINESS PHONE: (801) 990-1055 MAIL ADDRESS: STREET 1: 420 E. SOUTH TEMPLE STREET 2: SUITE 520 CITY: SALT LAKE CITY STATE: UT ZIP: 84111 D 1 primary_doc.xml X0707 D LIVE 0001512138 Great Basin Scientific, Inc. 420 E. South Temple, Suite 520 SALT LAKE CITY UT UTAH 84111 (801) 990-1055 DELAWARE None None Corporation true Ryan Ashton 420 E. South Temple, Suite 520 Salt Lake City UT UTAH 84111 Executive Officer Director Jeffrey Rona 420 E. South Temple, Suite 520 Salt Lake City UT UTAH 84111 Executive Officer Robert D. Jenison 420 E. South Temple, Suite 520 Salt Lake City UT UTAH 84111 Executive Officer Sandra Nielsen 420 E. South Temple, Suite 520 Salt Lake City UT UTAH 84111 Executive Officer Wesley C. Lindsey 420 E. South Temple, Suite 520 Salt Lake City UT UTAH 84111 Executive Officer Walter Hammond 420 E. South Temple, Suite 520 Salt Lake City UT UTAH 84111 Executive Officer Ronald K. Labrum 420 E. South Temple, Suite 520 Salt Lake City UT UTAH 84111 Director Sam Chawla 420 E. South Temple, Suite 520 Salt Lake City UT UTAH 84111 Director David Spafford 420 E. South Temple, Suite 520 Salt Lake City UT UTAH 84111 Director Kirk K. Calhoun 420 E. South Temple, Suite 520 Salt Lake City UT UTAH 84111 Director Other Health Care Decline to Disclose 06b false 2016-06-29 false true true true true Senior secured 0% interest convertible notes and Series H warrants; warrants may be exercised for common shares at $2.08 per share, subject to adjustment based on the issuer's stock price, with a floor of $1.70 per share. false 0 Roth Capital Partners, LLC 15407 None None 888 San Clemente, Suite 400 Newport Beach CA CALIFORNIA 92660 CA CALIFORNIA NJ NEW JERSEY NY NEW YORK false 188510000 68000000 120510000 (b) represents discounted secured convertible notes with a principal aggregate amount of $75M; (c) represents exercise price of Series H warrants calculated at $2.08 per share. false 9 4760000 0 0 false Great Basin Scientific, Inc. /s/ Jeffrey Rona Jeffrey Rona Chief Financial Officer & Corporate Secretary 2016-07-13