0001193805-11-001059.txt : 20110606
0001193805-11-001059.hdr.sgml : 20110606
20110606161807
ACCESSION NUMBER: 0001193805-11-001059
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110602
FILED AS OF DATE: 20110606
DATE AS OF CHANGE: 20110606
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Sklar Jeffrey
CENTRAL INDEX KEY: 0001509170
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-29819
FILM NUMBER: 11895483
MAIL ADDRESS:
STREET 1: 500 BEDFORD AVENUE
CITY: BELLMORE
STATE: NY
ZIP: 11710
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Alliqua, Inc.
CENTRAL INDEX KEY: 0001054274
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 582349413
STATE OF INCORPORATION: FL
FISCAL YEAR END: 1220
BUSINESS ADDRESS:
STREET 1: 850 THIRD AVENUE
STREET 2: SUITE 1801
CITY: NEW YORK
STATE: NY
ZIP: 10022
BUSINESS PHONE: 800-518-4879
MAIL ADDRESS:
STREET 1: 850 THIRD AVENUE
STREET 2: SUITE 1801
CITY: NEW YORK
STATE: NY
ZIP: 10022
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
FORMER COMPANY:
FORMER CONFORMED NAME: ZETA CORP /CA
DATE OF NAME CHANGE: 20000303
4
1
e608536_ex.xml
FORM 4
X0303
4
2011-06-02
0
0001054274
Alliqua, Inc.
ALQA
0001509170
Sklar Jeffrey
850 THIRD AVENUE, SUITE 1801
NEW YORK
NY
10022
1
0
0
0
Common Stock
2011-06-02
4
P
0
30000
0.11
A
280000
I
By custodial account for child
Includes 250,000 shares of Common Stock underlying stock options granted to and accepted by the reporting person on January 3, 2011 pursuant to the Alliqua, Inc. 2001 Incentive Plan.
/s/ Jeffrey Sklar
2011-06-03