0001503199-12-000002.txt : 20120925 0001503199-12-000002.hdr.sgml : 20120925 20120925135439 ACCESSION NUMBER: 0001503199-12-000002 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120625 FILED AS OF DATE: 20120925 DATE AS OF CHANGE: 20120925 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Nemelka David Nephi Jr. CENTRAL INDEX KEY: 0001503199 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-53769 FILM NUMBER: 121108440 MAIL ADDRESS: STREET 1: 2662 STONEBURY LOOP RD. CITY: SPRINGVILLE STATE: UT ZIP: 84663 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/A 1 primary_doc.xml PRIMARY DOCUMENT X0306 4/A 2012-06-25 2012-06-26 1 0001307579 LIQTECH INTERNATIONAL INC LIQT 0001503199 Nemelka David Nephi Jr. 2662 STONEBURY LOOP RD. SPRINGVILLE UT 84663 0 0 0 1 Former 10% Owner Common Stock, $0.001 Par 2012-06-25 4 S 0 2010800 1.75 D 935617 D Common Stock, $0.001 Par 78000 I By McKinley Capital, Inc. Common Stock, $0.001 Par 40500 I By McKinley Enterprises Inc. Profit Sharing Plan Common Stock, $0.001 Par 391500 I By McKinley Capital Inc. Roth 401(k) Plan Common Stock, $0.001 Par 75000 I By Tradeco Corp. Common Stock Purchase Warrant 1.5 2012-06-25 4 S 0 175000 0.25 D 2011-08-24 2016-12-31 Common Stock, $0.001 Par 175000 960000 D The transaction involved the sale of 1,885,800 shares at a price of $1.75 per share and the transfer of 125,000 shares to a broker-dealer as payment of transaction fees. These securities are owned by McKinley Capital, Inc., a Utah corporation controlled by the reporting person. These securities are owned by the Profit Sharing Plan of McKinley Enterprises Inc., a Utah corporation controlled by the reporting person. These securites are owned by the Roth 401(k) Plan of McKinley Capital, Inc., a Utah corporation controlled by the reporting person. These securities are held by Tradeco Corp., a Utah corporation controlled by the reporting person. The transaction involved the sale of 175,000 warrants, each entitling the holder to purchase one share of Issuer's common stock at an exercise price of $1.50 per share, at a sales price of $0.25 per warrant. The original Form 4 filed on June 26, 2012 is amended to check the box indicating that following the reported transactions the reporting person was no longer a 10% owner and was no longer subject to Section 16. /s/ David N. Nemelka 2012-09-25