0001437749-21-023493.txt : 20211008 0001437749-21-023493.hdr.sgml : 20211008 20211008161432 ACCESSION NUMBER: 0001437749-21-023493 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210322 FILED AS OF DATE: 20211008 DATE AS OF CHANGE: 20211008 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sune Mathiesen CENTRAL INDEX KEY: 0001617462 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36210 FILM NUMBER: 211315455 MAIL ADDRESS: STREET 1: HELSTED HUSEVEJ 45 CITY: RANDERS STATE: G7 ZIP: 8920 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 4 1 rdgdoc.xml FORM 4 X0306 4 2021-03-22 0001307579 LIQTECH INTERNATIONAL INC LIQT 0001617462 Sune Mathiesen HELSTED HUSEVEJ 45 RANDERS, DENMARK 1 1 1 Chief Executive Officer Restricted Stock Units 2021-03-22 4 A 0 40432 9.54 A Common Stock 40432 40432 D Each Restricted Stock Unit converts into a share of Common Stock on a one-for-one basis. On March 22, 2021, the reporting person was granted 40,432 Restricted Stock Units, which shall vest in three equal annual installments beginning January 2, 2022. /s/ Sune Mathiesen 2021-10-08