0001615774-15-000784.txt : 20150421 0001615774-15-000784.hdr.sgml : 20150421 20150421153644 ACCESSION NUMBER: 0001615774-15-000784 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150414 FILED AS OF DATE: 20150421 DATE AS OF CHANGE: 20150421 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Laursen Henrik CENTRAL INDEX KEY: 0001639301 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36210 FILM NUMBER: 15783117 MAIL ADDRESS: STREET 1: ALLINGVEJ 2 CITY: RY STATE: G7 ZIP: 8680 4 1 s100991_form4.xml 4 X0306 4 2015-04-14 0 0001307579 LIQTECH INTERNATIONAL INC LIQT 0001639301 Laursen Henrik ALLINGVEJ 2 RY G7 8680 DENMARK 0 1 0 0 CEO of Subsidiary Stock Options/ Right to buy 0.75 2015-04-14 4 A 0 100000 0 A 2016-04-15 2020-04-15 Common Stock 100000 100000 D On April 14, 2015, Mr. Laursen was granted 100,000 stock options, to vest in equal installments on April 15, 2016, April 15, 2017 and April 15, 2018. /s/ Henrik Laursen 2015-04-20