0001437749-17-015048.txt : 20170818 0001437749-17-015048.hdr.sgml : 20170818 20170818164039 ACCESSION NUMBER: 0001437749-17-015048 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170811 FILED AS OF DATE: 20170818 DATE AS OF CHANGE: 20170818 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: 171041463 MAIL ADDRESS: STREET 1: 5314 N. RIVER RUN DRIVE, SUITE 350 CITY: PROVO STATE: UT ZIP: 84604 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 4 1 rdgdoc.xml FORM 4 X0306 4 2017-08-11 1 0001307579 LIQTECH INTERNATIONAL INC LIQT 0001480555 Burgon Paul INDUSTRIPARKEN 22C DK 2750 BALLERUP, DENMARK 1 Mr. Burgon resigned from the Company as of August 11, 2017. /s/ Paul Burgon 2017-08-18