SEC FORM 3

SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person^*

Spafford David

(Last)

(First)

(Middle)

C/O GREAT BASIN SCIENTIFIC, INC.

2441 SOUTH 3850 WEST

(Street)

SALT LAKE CITY

84120

(City)

(State)

(Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
10/08/2014

3. Issuer Name and Ticker or Trading Symbol
Great Basin Scientific, Inc. [ GBSN ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	10% Owner
	Officer (give title below)	Other (specify below)

5. If Amendment, Date of Original Filed (Month/Day/Year)

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 Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock	10,835	D
Common Stock	46,750	I	By Spring Forth Investments, LLC
Common Stock	1,750	I	By DSM Ventures
Common Stock	2,500	I	By DRS, LLC
Common Stock	1,243	I	By SBS Charitable Remainder Trust U/A/D November 27, 1995
Common Stock	256	I	By DRS Charitable Remainder Trust U/A/D May 5, 1993
Series A Preferred Stock	101,653	I	By Spring Forth Investments, LLC
Series A Preferred Stock	27,407	I	By SBS Charitable Remainder Trust U/A/D November 27, 1995
Series A Preferred Stock	5,662	I	By DRS Charitable Remainder Trust U/A/D May 5, 1993
Series B Preferred Stock	28,597	I	By Spring Forth Investments, LLC
Series B Preferred Stock	63,047	I	By Bourne Spafford Charitable Trust U/A/D May 15, 1995
Series C Preferred Stock	186,014	I	By DRS Charitable Remainder Trust U/A/D May 5, 1993
Series C Preferred Stock	42,182	I	By Bourne Spafford Charitable Trust U/A/D May 15, 1995
Series C-1 Preferred Stock	420,135	I	By SBS Charitable Remainder Trust U/A/D November 27, 1995
Series D Preferred Stock	180,000	I	By Spring Forth Investments, LLC
Series D Preferred Stock	20,622	I	By DRS, LLC

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock Warrants	02/09/2010	02/09/2017	Common Stock	11,158	$10	D
Common Stock Warrants	11/25/2013	11/25/2020	Common Stock	50,000	$2	D
Common Stock Warrants	04/11/2014	04/11/2021	Common Stock	12,500	$2	I	By DRS, LLC
Common Stock Warrants	03/16/2009	03/16/2016	Common Stock	22,227	$10	I	By SBS Charitable Remainder Trust U/A/D November 27, 1995
Common Stock Warrants	03/16/2009	03/16/2016	Common Stock	4,591	$10	I	By DRS Charitable Remainder Trust U/A/D May 5, 1993
Class A Common Stock Warrant	07/30/2014	07/30/2021	Common Stock	20,622	$4.92	I	By DRS, LLC
Class A Common Stock Warrant	04/23/2014	04/21/2021	Common Stock	100,000	$4.92	I	By Spring Forth Investments, LLC
Class A Common Stock Warrant	06/02/2014	06/02/2014	Common Stock	60,000	$4.92	I	By Spring Forth Investments, LLC
Class A Common Stock Warrant	06/18/2014	06/18/2021	Common Stock	20,000	$4.92	I	By Spring Forth Investments, LLC
Class B Common Stock Warrants	07/30/2014	07/30/2021	Common Stock	20,622	$0.2	I	By DRS, LLC
Class B Common Stock Warrants	04/23/2014	04/23/2021	Common Stock	100,000	$0.2	I	By Spring Forth Investments, LLC
Class B Common Stock Warrants	06/02/2014	06/02/2021	Common Stock	60,000	$0.2	I	By Spring Forth Investments, LLC
Class B Common Stock Warrants	06/18/2014	06/18/2021	Common Stock	20,000	$0.2	I	By Spring Forth Investments, LLC
Series A Preferred Stock Warrants	02/09/2010	02/09/2017	Series A Preferred Stock	11,158	$3.2	D
Common Stock Options	04/18/2018⁽¹⁾	04/18/2014	Common Stock	75,000	$2	D

Explanation of Responses:

1. Twenty-five percent (25%) of Mr. Spafford's options will vest on April 18, 2015, and 1/48th of the options shall vest each month thereafter.

Remarks:

	/s/ David Spafford	10/03/2014
	** 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 5 (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.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.