0001437749-13-012901.txt : 20131009 0001437749-13-012901.hdr.sgml : 20131009 20131009153515 ACCESSION NUMBER: 0001437749-13-012901 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110824 FILED AS OF DATE: 20131009 DATE AS OF CHANGE: 20131009 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DEGN SOREN CENTRAL INDEX KEY: 0001528434 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-53769 FILM NUMBER: 131143373 MAIL ADDRESS: STREET 1: INDUSTRIPARKEN 22C CITY: BALLERUP STATE: G7 ZIP: DK-2750 4 1 rdgdoc.xml PRIMARY DOCUMENT X0306 4 2011-08-24 0001307579 LIQTECH INTERNATIONAL INC LIQT 0001528434 DEGN SOREN INDUSTRIPARKEN 22C BALLERUP G7 2750 DENMARK 1 Chief Financial Officer Common Stock 2013-10-04 4 M 0 50000 1.50 A 606932 I See footnote Stock options 1.50 2011-08-24 4 A 0 50000 1.50 A 2015-02-28 Common stock 50000 50000 D Stock options 3 2011-08-24 4 A 0 150000 3 A 2015-02-28 Common stock 150000 200000 D Stock options 3.28 2012-03-23 4 A 0 58399 3.28 A 2015-02-22 Common stock 58399 258399 D Stock options 1.50 2013-10-04 4 D 0 50000 1.50 D 2015-02-28 Common Stock 50000 208399 D Stock option 2.70 2013-10-04 4 A 0 50000 2.70 A 2013-10-04 2015-02-28 Common stock 50000 258399 D Includes indirect ownership of 205,000 shares and 113,000 shares owned by LD Consulting ApS (former SHD Invest ApS) and LHD Invest ApS, respectively, each of which is a Danish entity. The voting and disposition of the shares owned by LD Consulting ApS and LHD Invest ApS are controlled by Mr. Degn. Also includes direct ownership of 50,000 shares of common stock, and direct ownership of the vested portion of 258,399 stock options, of which 50,000 options have an exercise price of $2.70, 150,000 stock options have an exercise price of $3.00 and vested in three equal annual installments on August 24, 2011, September 1, 2012 and September 1, 2013 and 58,399 stock options have an exercise price of $3.28 and vest in three equal annual installments on March 23, 2012, March 23, 2013 and March 23, 2014. The 50,000 stock options had an exercise price of $1.50 and vested (and were also exercisable) in three equal annual installments on August 24, 2011, September 1, 2012 and September 1, 2013. The 150,000 stock options have an exercise price of $3.00 and vested (and were also exercisable) in three equal annual installments on August 24, 2011, September 1, 2012 and September 1, 2013. The 58,399 stock options have an exercise price of $3.28 and vest (and are also exercisable) in three equal installments on March 23, 2012, March 23, 2013 and March 23, 2014. /s/ Soren Degn 2013-10-09