SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Bremer John A

(Last) (First) (Middle)
1660 CHICAGO AVENUE, SUITE M-11

(Street)
RIVERSIDE CA 92507

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
PureBase Corp [ PUBC ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
03/04/2016
4. If Amendment, Date of Original Filed (Month/Day/Year)
07/19/2022
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common stock 03/04/2016 03/04/2016 J(1) 40,105,500 D (1) 0 D
Common stock 04/24/2019 04/24/2019 P 10,000 A $0.065 10,000 D
Common stock 07/24/2019 07/24/2019 P 51,785 A $0.055 61,785 D
Common stock 07/25/2019 07/25/2019 P 15,000 A $0.0785 76,785 D
Common stock 02/12/2020 02/12/2020 P 10,000 A $0.2 86,785 D
Common stock 04/24/2020 04/24/2020 P 10,000 A $0.105 96,785 D
Common stock 10/21/2020 10/21/2020 P 9,500 A $0.085 106,285 D
Common stock 10/29/2020 10/29/2020 P 10,000 A $0.086 116,285 D
Common stock 11/02/2020 11/02/2020 P 9,000 A $0.08 125,285 D
Common stock 04/18/2016 04/18/2016 J(2) 57,500 D (2) 0 I By wife
Common stock 03/04/2016 03/04/2016 J(1) 40,105,500 A (1) 40,105,500 I By Trust
Common stock 04/18/2016 04/18/2016 J(2) 57,500 A (2) 40,163,000 I By Trust
Common stock 09/05/2019 09/05/2019 J(3) 60,248,484 A $0.09 60,248,484 I By Corporation
Common stock 02/03/2020 02/03/2020 J(3) 6,290,094 A $0.09 66,538,578 I By Corporation
Common stock 07/07/2022 07/07/2022 J(3) 6,720,905 A $0.16 73,259,483 I By Corporation
Common stock 07/07/2022 07/07/2022 J(3) 17,020,749 A $0.088 90,280,232 I By Corporation
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock option (right to buy) $0.38 10/06/2021 10/06/2021 J(4) 116,000,000(5) (6) 04/06/2028 Common Stock 116,000,000 $0.38 116,000,000 I By limited liability company
Explanation of Responses:
1. Represents the transfer of shares held by the Reporting Person to the Bremer Family 1995 Living Family Trust of which the Reporting person is a trustee.
2. Represents the transfer of shares held by the Reporting Person's wife to the Bremer Family 1995 Living Family Trust of which the Reporting person is a trustee.
3. Represents shares held by US Mine Corporation, of which the Reporting Person is a 33.3% owner. The Reporting Person disclaims beneficial ownership as to 66.6% of such shares.
4. Option issued to US Mine Corp. as consideration for rights granted under a mineral extraction agreement with the Issuer.
5. Represents shares exercisable under an option held by US Mine LLC, of which the Reporting Person is a 33.3% owner. The Reporting Person disclaims beneficial ownership as to 66.6% of such shares.
6. 58,000,000 shares subject to the option were exercisable as of 4/6/22, 29,000,000 shares vest and become exercisable on 10/6/22 and 29,000,000 shares vest and become exercisable on 4/6/23.
/s/ John Bremer 08/11/2022
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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