0001140361-11-024139.txt : 20110429
0001140361-11-024139.hdr.sgml : 20110429
20110429202823
ACCESSION NUMBER: 0001140361-11-024139
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110427
FILED AS OF DATE: 20110429
DATE AS OF CHANGE: 20110429
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Mahamedi Abdi
CENTRAL INDEX KEY: 0001463988
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-31332
FILM NUMBER: 11797198
MAIL ADDRESS:
STREET 1: 2 GANNETT DRIVE
STREET 2: SUITE 201
CITY: WHITE PLAINS
STATE: NY
ZIP: 10604
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: LIQUIDMETAL TECHNOLOGIES INC
CENTRAL INDEX KEY: 0001141240
STANDARD INDUSTRIAL CLASSIFICATION: CHEMICALS & ALLIED PRODUCTS [2800]
IRS NUMBER: 330264467
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 30452 ESPERANZA
CITY: RANCHO SANTA MARGARITA
STATE: CA
ZIP: 92688
BUSINESS PHONE: 800-511-3651
MAIL ADDRESS:
STREET 1: 30452 ESPERANZA
CITY: RANCHO SANTA MARGARITA
STATE: CA
ZIP: 92688
FORMER COMPANY:
FORMER CONFORMED NAME: LIQUIDMETAL TECHNOLOGIES
DATE OF NAME CHANGE: 20010523
4
1
doc1.xml
FORM 4
X0303
4
2011-04-27
0
0001141240
LIQUIDMETAL TECHNOLOGIES INC
LQMT
0001463988
Mahamedi Abdi
2 GANETT DRIVE, SUITE 201
WHITE PLAINS
NY
10604
1
0
0
0
Common Stock
2011-04-27
4
J
0
3873325
0.22
A
5221025
I
Held indirectly through Carlyle Holdings, LLC.
Series A-2 Preferred Stock
0.22
2011-04-27
4
M
0
144968
5.00
D
Common Stock
3294717
144495
I
See footnote
Each share of Series A Preferred Stock is convertible into shares of common stock at the time and under the circumstances described in the Amended Certificate of Designations, Preferences and Rights for Series A Preferred Stock. The Series A Preferred Stock has no expiration date.
86,387 shares of Series A-2 Preferred Stock held indirectly through Carlyle Liquid Holdings, LLC; 58,108 shares of Series A-2 Preferred Stock held indirectly through Carlyle Holdings, LLC.
Represents shares acquired upon the conversion of Series A-2 Preferred Stock by Carlyle Liquid, LLC and the subsequent distribution of such shares by Carlyle Liquid, LLC to its members in proportion to their respective percentages.
Abdi Mahamedi
2011-04-29