0001437749-21-000834.txt : 20210119 0001437749-21-000834.hdr.sgml : 20210119 20210119111133 ACCESSION NUMBER: 0001437749-21-000834 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210106 FILED AS OF DATE: 20210119 DATE AS OF CHANGE: 20210119 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: VERNON MARK CENTRAL INDEX KEY: 0001574126 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36210 FILM NUMBER: 21534573 MAIL ADDRESS: STREET 1: 200 SOUTH BISCAYNE BLVD CITY: MIAMI STATE: FL ZIP: 33131 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 2021-01-06 0001307579 LIQTECH INTERNATIONAL INC LIQT 0001574126 VERNON MARK INDUSTRIPARKEN 22C BALLERUP, DENMARK 2750 1 Common Stock 2021-01-06 4 A 0 11218 0 A 199293 D Common Stock 2021-01-06 4 A 0 9321 0 A 208614 D On January 6, 2021, Mr. Vernon was issued 11,218 shares of Common Stock of the Issuer as consideration for past service on the Board of Directors. On January 6, 2021, as consideration for service on the Board of Directors, Mr. Vernon was granted 9,321 restricted shares of Common Stock of the Issuer, which shall vest on January 1, 2022. /s/ Mark Vernon 2021-01-14