0001179350-11-000097.txt : 20111206 0001179350-11-000097.hdr.sgml : 20111206 20111206134731 ACCESSION NUMBER: 0001179350-11-000097 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111129 FILED AS OF DATE: 20111206 DATE AS OF CHANGE: 20111206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Suydam Edward J CENTRAL INDEX KEY: 0001463708 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27421 FILM NUMBER: 111245394 MAIL ADDRESS: STREET 1: 50 WEST LIBERTY STREET, SUITE 880 CITY: RENO STATE: NV ZIP: 89501 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Nano Mask, Inc. CENTRAL INDEX KEY: 0001088213 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 870561647 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 50 WEST LIBERTY STREET, SUITE 880 CITY: RENO STATE: NV ZIP: 89501 BUSINESS PHONE: 209-275-9270 MAIL ADDRESS: STREET 1: 50 WEST LIBERTY STREET, SUITE 880 CITY: RENO STATE: NV ZIP: 89501 FORMER COMPANY: FORMER CONFORMED NAME: EMERGENCY FILTRATION PRODUCTS INC/ NV DATE OF NAME CHANGE: 19990608 4 1 primary_doc.xml PRIMARY DOCUMENT X0304 4 2011-11-29 0 0001088213 Nano Mask, Inc. NANM 0001463708 Suydam Edward J 50 WEST LIBERTY STREET, SUITE 880 RENO NV 89501 1 1 0 0 CEO/President Common stock 2011-11-29 4 A 0 30637 0.064 A 8327216 D Common stock 2011-11-29 4 P 0 1000 0.051 A 8328216 D Additional shares due for 1st quarter 2010 compensation. Corrected 30 day trailing average closing price per share on date of board approval. Additional shares due for debt conversion in July 2010. Represents 30 day trailing average closing price on date of board approval of debt conversion. /s/Edward J Suydam 2011-12-06