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