0001144204-13-001267.txt : 20130108 0001144204-13-001267.hdr.sgml : 20130108 20130108142505 ACCESSION NUMBER: 0001144204-13-001267 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130104 FILED AS OF DATE: 20130108 DATE AS OF CHANGE: 20130108 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AXION INTERNATIONAL HOLDINGS, INC. CENTRAL INDEX KEY: 0000753048 STANDARD INDUSTRIAL CLASSIFICATION: PLASTICS FOAM PRODUCTS [3086] IRS NUMBER: 840846389 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 180 SOUTH STREET STREET 2: . CITY: NEW PROVIDENCE STATE: NJ ZIP: 07974 BUSINESS PHONE: 908-542-0888 MAIL ADDRESS: STREET 1: 180 SOUTH STREET STREET 2: . CITY: NEW PROVIDENCE STATE: NJ ZIP: 07974 FORMER COMPANY: FORMER CONFORMED NAME: ANALYTICAL SURVEYS INC DATE OF NAME CHANGE: 19920703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ML Dynasty Trust CENTRAL INDEX KEY: 0001557414 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13111 FILM NUMBER: 13517676 BUSINESS ADDRESS: STREET 1: 4709 MONTGOMERY LANE STREET 2: LOWER LEVEL CITY: BETHESDA STATE: MD ZIP: 20814 BUSINESS PHONE: 3016529830 MAIL ADDRESS: STREET 1: 4709 MONTGOMERY LANE STREET 2: LOWER LEVEL CITY: BETHESDA STATE: MD ZIP: 20814 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MLTM Lending LLC CENTRAL INDEX KEY: 0001557433 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13111 FILM NUMBER: 13517677 BUSINESS ADDRESS: STREET 1: 4922A ST. ELMO AVE. CITY: BETHESDA STATE: MD ZIP: 20814 BUSINESS PHONE: 3016542400 MAIL ADDRESS: STREET 1: 4922A ST. ELMO AVE. CITY: BETHESDA STATE: MD ZIP: 20814 4 1 v331556_4.xml OWNERSHIP DOCUMENT X0306 4 2013-01-04 0 0000753048 AXION INTERNATIONAL HOLDINGS, INC. AXIH 0001557433 MLTM Lending LLC 4922A ST. ELMO AVE. BETHESDA MD 20814 0 0 1 0 0001557414 ML Dynasty Trust 4709 MONTGOMERY LANE LOWER LEVEL BETHESDA MD 20814 0 0 1 0 Common Stock 2013-01-04 4 J 0 113967 0 A 147031 D The Reporting Person received 113,967 shares of Common Stock as payment-in-kind interest on the Issuer's 8.0% Convertible Notes held by the Reporting Person on December 31, 2012. On September 30, 2012, the Reporting Person received 33,064 shares of Common Stock as payment-in-kind interest on the Issuer's 8.0% Convertible Notes held by the Reporting Person on September 30, 2012. /s/ Edward Lenkin, Vice President, CF Holdings, Inc., general partner of TM Investments, LP, Administrative Member 2013-01-07 /s/ Thomas Bowersox, Trustee, ML Dynasty Trust 2013-01-07