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