0001437749-12-009155.txt : 20120906 0001437749-12-009155.hdr.sgml : 20120906 20120906060347 ACCESSION NUMBER: 0001437749-12-009155 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120831 FILED AS OF DATE: 20120906 DATE AS OF CHANGE: 20120906 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Burgon Paul CENTRAL INDEX KEY: 0001480555 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-53769 FILM NUMBER: 121075390 MAIL ADDRESS: STREET 1: 5314 N. RIVER RUN DRIVE, SUITE 350 CITY: PROVO STATE: UT ZIP: 84604 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LIQTECH INTERNATIONAL INC CENTRAL INDEX KEY: 0001307579 STANDARD INDUSTRIAL CLASSIFICATION: MISC INDUSTRIAL & COMMERCIAL MACHINERY & EQUIPMENT [3590] IRS NUMBER: 201431677 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: INDUSTRIPARKEN 22C CITY: BALLERUP STATE: G7 ZIP: DK-2750 BUSINESS PHONE: 01145 2390 4545 MAIL ADDRESS: STREET 1: INDUSTRIPARKEN 22C CITY: BALLERUP STATE: G7 ZIP: DK-2750 FORMER COMPANY: FORMER CONFORMED NAME: Blue Moose Media Inc DATE OF NAME CHANGE: 20041101 4 1 rdgdoc.xml PRIMARY DOCUMENT X0306 4 2012-08-31 0001307579 LIQTECH INTERNATIONAL INC LIQT 0001480555 Burgon Paul INDUSTRIPARKEN 22C DK 2750 BALLERUP, DENMARK 1 Common Stock 2012-08-31 4 P 0 2200 2.03 A 9700 D Common Stock 2012-08-31 4 P 0 7400 2.13 A 17100 D Common Stock 2012-09-05 4 P 0 2070 2.16 A 19170 D /s/ Paul V. Burgon 2012-09-05