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