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