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