| PureBase Corporation |
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(Name of Issuer)
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| Common Stock, par value $0.001 |
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(Title of Class of Securities)
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| 74624L203 |
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(CUSIP Number)
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A. Scott Dockter, 8625 State Highway 124, Ione, CA 95640
(209) 297-4331
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(Name, Address and Telephone Number of Person
Authorized to Receive Notices and Communications)
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| November 1, 2016 |
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(Date of Event which Requires Filing of this Statement)
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1
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NAMES OF REPORTING PERSONS
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I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
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A. Scott Dockter
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(a)
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(b)
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3
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SEC USE ONLY
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4
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SOURCE OF FUNDS (SEE INSTRUCTIONS)
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N/A
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5
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CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(D) OR 2(E)
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6
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CITIZENSHIP OR PLACE OF ORGANIZATION
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USA
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NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
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7
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SOLE VOTING POWER
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44,763,297
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8
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SHARED VOTING POWER
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-0-
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9
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SOLE DISPOSITIVE POWER
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44,763,297
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10
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SHARED DISPOSITIVE POWER
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-0-
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11
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
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44,763,297
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12
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CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
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13
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
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31.7%
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14
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
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IN
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| a. | A. Scott Dockter beneficially owns all of the shares listed. |
| b. | The business address of Mr. Dockter is 8625 State Highway 124, Ione, CA 95640. |
| c. |
Mr. Dockter is the Chief Executive Officer of the Issuer.
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| d. | N/A |
| e. |
Reporting person has not been a party to a proceeding which resulted in a judgment, decree or final order enjoining future violations of, or prohibiting or mandating activities subject to, federal or state securities laws or finding any violation with respect to such laws.
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| f. |
Reporting person is a citizen of the United States.
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| a. |
During the period from October 31, 2015 to November l , 2016, Mr. Dockter gifted a total of 3,148,927 shares of the Issuer's common stock he owned to other individuals.
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| b. | N/A |
| c. | N/A |
| d. | N/A |
| e. | N/A |
| f. | N/A |
| g. | None. |
| h. | N/A |
| i. | N/A |
| j. | None. |
| a. |
44,763,297 shares, 31.7% of the total shares outstanding as of February 28, 2017.
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| b. |
Mr. Dockter has sole voting power over the 44,763,297 shares of the Issuer's common stock he owns.
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| c. | None. |
| d. | None. |
| e. | Not Applicable. |
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By:
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/s/ A. Scott Dockter
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A. Scott Dockter CEO of the Issuer
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