0001437749-16-023139.txt : 20160105 0001437749-16-023139.hdr.sgml : 20160105 20160105172845 ACCESSION NUMBER: 0001437749-16-023139 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160101 FILED AS OF DATE: 20160105 DATE AS OF CHANGE: 20160105 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: Burgon Paul CENTRAL INDEX KEY: 0001480555 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36210 FILM NUMBER: 161323854 MAIL ADDRESS: STREET 1: 5314 N. RIVER RUN DRIVE, SUITE 350 CITY: PROVO STATE: UT ZIP: 84604 4 1 rdgdoc.xml FORM 4 X0306 4 2016-01-01 0001307579 LIQTECH INTERNATIONAL INC LIQT 0001480555 Burgon Paul INDUSTRIPARKEN 22C DK 2750 BALLERUP, DENMARK 1 Common Stock 2016-01-01 4 A 0 29703 1.01 A 188521 D On January 1, 2016, for Board service, Mr. Burgon was granted 29,703 restricted shares of Common Stock which shall vest on January 1, 2017. /s/ Paul Burgon 2016-01-05