X0306 4 2014-06-17 0 0000764839 PureSafe Water Systems, Inc. PSWS 0001368049 HICKS STEPHEN M 90 GROVE STREET RIDGEFIELD CT 06877 1 1 1 0 President Series H Preferred Stock 0.0028 2014-06-17 4 P 0 17 425000 A 2014-06-17 Common stock 151785714 17 I See Footnote $2,500 convertible promissory note 0.001 2014-04-21 4 P 0 1 25000 A 2014-04-21 Common stock 2500000 1 I See Footnote $50,000 convertible promissory note 0.0008 2014-04-04 4 P 0 1 50000 A 2014-04-04 Common stock 62500000 1 I See Footnote Series G Preferred Stock 1.00 2014-06-17 4 P 0 51 51 A 2014-06-17 Common stock 51 51 I See Footnote Series H Convertible Preferred Shares are owned directly by Tarpon Bay Partners, LLC ("Tarpon"), a Florida limited liability company, and were issued pursuant to a June 13, 2014 consulting agreement (the "Consulting Agreement") with the Issuer. Tarpon is compensated under the Consulting Agreement by the issuance to it of shares of Series H Convertible Preferred Stock on a monthly basis throughout the term of the Consulting Agreement. The Reporting Person is the President of the Issuer and is the manager of Tarpon. Reporting Person has voting and investment control over the securities held by Tarpon, but disclaims beneficial ownership of such shares. The $2500 Convertible Note is convertible into 2,500,000 shares of common stock as at June 23, 2014, and is owned directly by ASC Recap LLC. The Reporting Person is the President of the Issuer and is the manager of ASC. Reporting Person has voting and investment control over the securities held by ASC, but disclaims beneficial ownership of such shares. The $50,000 Convertible Note is convertible into 62,500,000 shares of common stock as at June 23, 2014, and is owned directly by Tarpon Bay Partners LLC. The Reporting Person is the President of the Issuer and is the manager of Tarpon. Reporting Person has voting and investment control over the securities held by Tarpon, but disclaims beneficial ownership of such shares. Series G Preferred Shares are owned directly by the Reporting Person. The Series G Preferred Stock provides that the holder holds in the aggregate approximately 51% of the total voting power of all issued and outstanding voting capital of the Issuer. These voting rights apply only to matters of Issuer capitalization (i.e. increase in authorized common stock, stock splits, etc.), and similar matters upon which stockholders are entitled to vote or to which stockholders are entitled to give consent. Each Series G preferred stock is convertible into one share of the Issuer's common stock. NA /s/ Stephen Hicks 2014-06-30