0001144204-14-059153.txt : 20141002 0001144204-14-059153.hdr.sgml : 20141002 20141002115624 ACCESSION NUMBER: 0001144204-14-059153 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141001 FILED AS OF DATE: 20141002 DATE AS OF CHANGE: 20141002 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Alliqua BioMedical, Inc. CENTRAL INDEX KEY: 0001054274 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 582349413 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2150 CABOT BOULEVARD WEST CITY: LANGHORNE STATE: PA ZIP: 19047 BUSINESS PHONE: 215-702-8550 MAIL ADDRESS: STREET 1: 2150 CABOT BOULEVARD WEST CITY: LANGHORNE STATE: PA ZIP: 19047 FORMER COMPANY: FORMER CONFORMED NAME: Alliqua, Inc. DATE OF NAME CHANGE: 20101222 FORMER COMPANY: FORMER CONFORMED NAME: HEPALIFE TECHNOLOGIES INC DATE OF NAME CHANGE: 20030529 FORMER COMPANY: FORMER CONFORMED NAME: ZETA CORP DATE OF NAME CHANGE: 20030219 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Johnson David Ian CENTRAL INDEX KEY: 0001563432 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36278 FILM NUMBER: 141135305 MAIL ADDRESS: STREET 1: C/O ALLIQUA, INC. STREET 2: 850 3RD AVENUE, 18TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 4 1 v390589_4.xml OWNERSHIP DOCUMENT X0306 4 2014-10-01 0 0001054274 Alliqua BioMedical, Inc. ALQA 0001563432 Johnson David Ian C/O ALLIQUA, INC. 2150 CABOT BLVD. WEST, SUITE B LANGHORNE PA 19047 1 1 0 0 President and CEO Common Stock 2014-10-01 4 F 0 20552 4.84 D 335088 D Represents shares of restricted stock withheld to pay Mr. Johnson's tax withholding obligations incurred in connection with the vesting of 46,175 shares of restricted stock on October 1, 2014. /s/ David I. Johnson 2014-10-02