X0303 4/A 2010-10-04 2010-10-20 0 0000764839 PureSafe Water Systems, Inc. PSWS 0001411926 Lazar Terry 25 FAIRCHILD AVE. SUITE 250 PLAINVIEW NY 11803 1 1 0 0 Chief Financial Officer Common Stock 2010-10-19 4 A 0 670802 .096 A 14091350 D Common Stock 2010-10-19 4 G 0 670802 0 D 13420548 D Common Stock 616191 I See Footnote Warrants .10 2010-10-04 4 P 0 200000 0 A 2010-10-04 2015-10-04 COMMON STOCK 200000 8207135 D Note .10 2010-10-04 4 P 0 1000000 100000 A 2010-10-04 2011-04-04 COMMON STOCK 1000000 9207135 D Warrants Common Stock 95238 95238 I See Footnote Mr. Lazar owns two convertible notes in the principal amount of $100,000 each, due October 7, 2010 and April 4, 2011, convertible into 1,694,915 and 1,000,000 shares of common stock, respectively. Such notes were issued with five-year warrants to purchase 431,034 shares of common stock at an exercise price of $0.059 per share, and 200,000 shares of common stock at an exercise price of $0.10 per share, respectively. Mr. Lazar owns benficially warrants to purchase 95,238 shares of common stock by reason of his 1/3 ownership in LST Partners which owns such warrants directly. /s/ Terry Lazar 2010-12-03