0001437749-15-016132.txt : 20150819 0001437749-15-016132.hdr.sgml : 20150819 20150819082518 ACCESSION NUMBER: 0001437749-15-016132 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150817 FILED AS OF DATE: 20150819 DATE AS OF CHANGE: 20150819 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: 151062921 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 2015-08-17 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 2015-08-17 4 P 0 10000 0.7439 A 214745 D /s/ Donald S. Debelak 2015-08-19