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