Manuel Antonio Rodriguez - Dec 10, 2021 Form 3 Insider Report for BASANITE, INC. (BASA)

Role: Director
Signature: /s/ Manuel A. Rodriquez
Stock symbol: BASA
Transactions as of: Dec 10, 2021
Transactions value $: $0
Form type: 3
Date filed: 12/20/2021, 04:12 PM
Next filing: Feb 3, 2022

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
holding	BASA	Common Stock						10K	Dec 10, 2021	Direct

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Underlying Class	Amount	Exercise Price	Ownership	Footnotes
holding	BASA	Warrant							Dec 10, 2021	Restricted Common Stock	20M	$0.33	U.S. Supplies Inc.	F1

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	Manuel A. Rodriguez ("Mr. Rodriguez") is the President of U.S. Supplies, Inc. ("U.S. Supplies"). On December 10, 2021, in connection with certain agreements entered into between U.S. Supplies and Basanite, Inc. (the "Company"), U.S. Supplies was issued a warrant (the "Warrant") to purchase up to forty million (40,000,000) shares of restricted common stock of the Company beginning on December 10, 2021 and expiring on December 10, 2026. The right to purchase fifty percent (50%) of such shares (or 20,000,000 shares) vested on the grant date and the right to purchase the remaining fifty percent (50%) of such shares (or 20,000,000 shares) vests upon the satisfaction of a condition precedent as detailed in the Warrant.

Content

Manuel A. Rodriguez ("Mr. Rodriguez") is the President of U.S. Supplies, Inc. ("U.S. Supplies"). On December 10, 2021, in connection with certain agreements entered into between U.S. Supplies and Basanite, Inc. (the "Company"), U.S. Supplies was issued a warrant (the "Warrant") to purchase up to forty million (40,000,000) shares of restricted common stock of the Company beginning on December 10, 2021 and expiring on December 10, 2026. The right to purchase fifty percent (50%) of such shares (or 20,000,000 shares) vested on the grant date and the right to purchase the remaining fifty percent (50%) of such shares (or 20,000,000 shares) vests upon the satisfaction of a condition precedent as detailed in the Warrant.