0001437749-14-017929.txt : 20141003
0001437749-14-017929.hdr.sgml : 20141003
20141003141437
ACCESSION NUMBER: 0001437749-14-017929
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20141002
FILED AS OF DATE: 20141003
DATE AS OF CHANGE: 20141003
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: DEBELAK DONALD S
CENTRAL INDEX KEY: 0001528492
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36210
FILM NUMBER: 141139313
MAIL ADDRESS:
STREET 1: C/O MORSE ZELNICK ROSE & LANDER LLP
STREET 2: 405 PARK AVENUE SUITE 1401
CITY: NEW YORK
STATE: NY
ZIP: 10022
4
1
rdgdoc.xml
FORM 4
X0306
4
2014-10-02
0001307579
LIQTECH INTERNATIONAL INC
LIQT
0001528492
DEBELAK DONALD S
C/O MORSE ZELNICK ROSE & LANDER LLP
405 PARK AVENUE SUITE 1401
NEW YORK
NY
10022
1
President, Liqtech NA
Common Stock
2014-10-02
4
P
0
18787
1.54
A
390644
D
Includes 142,500 stock options having an exercise price of $3.00 that vested in three equal annual installments on August 24, 2011, September 1, 2012 and September 1, 2013 and 58,399 stock options having an exercise price of $3.28 vesting in three equal annual installments on March 23, 2012, March 23, 2013 and March 23, 2014.
/s/ Donald S. Debelak
2014-10-02