0001144204-15-035066.txt : 20150602 0001144204-15-035066.hdr.sgml : 20150602 20150602150544 ACCESSION NUMBER: 0001144204-15-035066 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150529 FILED AS OF DATE: 20150602 DATE AS OF CHANGE: 20150602 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Alliqua BioMedical, Inc. CENTRAL INDEX KEY: 0001054274 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 582349413 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2150 CABOT BOULEVARD WEST CITY: LANGHORNE STATE: PA ZIP: 19047 BUSINESS PHONE: 215-702-8550 MAIL ADDRESS: STREET 1: 2150 CABOT BOULEVARD WEST CITY: LANGHORNE STATE: PA ZIP: 19047 FORMER COMPANY: FORMER CONFORMED NAME: Alliqua, Inc. DATE OF NAME CHANGE: 20101222 FORMER COMPANY: FORMER CONFORMED NAME: HEPALIFE TECHNOLOGIES INC DATE OF NAME CHANGE: 20030529 FORMER COMPANY: FORMER CONFORMED NAME: ZETA CORP DATE OF NAME CHANGE: 20030219 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WAGNER MARK T CENTRAL INDEX KEY: 0001172343 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36278 FILM NUMBER: 15906540 MAIL ADDRESS: STREET 1: 800 WASHINGTON AVENUE NORTH SUITE 400 CITY: MINNEAPOLIS STATE: MN ZIP: 55432 3 1 v412246_3.xml OWNERSHIP DOCUMENT X0206 3 2015-05-29 1 0001054274 Alliqua BioMedical, Inc. ALQA 0001172343 WAGNER MARK T C/O ALLIQUA BIOMEDICAL, INC. 2150 CABOT BOULEVARD WEST LANGHORNE PA 19047 1 0 0 0 Reflects the beneficial ownership of the reporting person at the time immediately prior to such person's appointment as a member of the board of directors of Alliqua BioMedical, Inc. (the "Issuer"), and does not include the securities acquired by the reporting person upon the consummation of the merger of Celleration, Inc. with ALQA Cedar, Inc., a wholly-owned subsidiary of the Issuer, on May 29, 2015 (the "Merger"). The reporting person will file a Form 4 reflecting such person's acquisition of the Issuer's securities in connection with the consummation of the Merger /s/ Mark T. Wagner 2015-06-02