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

Role: Director
Signature: /s/ Manuel A. Rodriquez
Issuer symbol: BASA
Transactions as of: 10 Dec 2021
Net transactions value: $0
Form type: 3
Filing time: 20 Dec 2021, 16:12:45 UTC
Next filing: 03 Feb 2022
SEC: View on sec.gov

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
holding	BASA	Common Stock						10,000	10 Dec 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							10 Dec 2021	Restricted Common Stock	20,000,000	$0.3300	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.