-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, QOT3ozYEgrugsNizrCngGdKW6V4ie2lhn+hWJDS3XIOWDBGMf7U/6j6Kd97Ltvak jUXtuZexqWjiXkwUSbc/TA== 0001106828-05-000001.txt : 20050811 0001106828-05-000001.hdr.sgml : 20050811 20050811180523 ACCESSION NUMBER: 0001106828-05-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050811 FILED AS OF DATE: 20050811 DATE AS OF CHANGE: 20050811 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SCOTTS LIQUID GOLD INC CENTRAL INDEX KEY: 0000088000 STANDARD INDUSTRIAL CLASSIFICATION: PERFUMES, COSMETICS & OTHER TOILET PREPARATIONS [2844] IRS NUMBER: 840920811 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4880 HAVANA ST CITY: DENVER STATE: CO ZIP: 80239 BUSINESS PHONE: 3033734860 MAIL ADDRESS: STREET 1: PO BOX 39S CITY: DENVER STATE: CO ZIP: 80219-0019 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GOLDSTEIN MARK E CENTRAL INDEX KEY: 0001106828 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13458 FILM NUMBER: 051018459 MAIL ADDRESS: STREET 1: 4880 HAVANA ST CITY: DENVER STATE: CO ZIP: 80239 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2005-08-11 0 0000088000 SCOTTS LIQUID GOLD INC SLGD 0001106828 GOLDSTEIN MARK E 4880 HAVANA ST DENVER CO 80239 1 1 1 0 C.O.B., President & C.E.O. Common Stock 2005-08-11 4 P 0 20000 0.58 A 378990 D Common Stock 25890 I By Spouse Common Stock 28890 I By Minor Daughter Common Stock 28890 I By Minor Son Common Stock 18222 I By Minor Son Common Stock 111280 I By ESOP Common Stock 524932 I By Partnership Common Stock 500132 I By Partnership and Trust Common Stock 122541 I By Minor Children Incentive Stock Option (right to buy) 0.7557 2000-12-04 2005-12-03 Common Stock 50000 50000 D Incentive Stock Option (right to buy) 0.682 2003-11-28 2008-11-27 Common Stock 70500 70500 D Incentive Stock Option (right to buy) 0.594 2005-05-04 2010-05-03 Common Stock 80000 80000 D The reporting person disclaims beneficial ownership of all shares held by spouse or minor children, and this report should not be deemed to be an admission that the reporting person is a beneficial owner of such shares for purposes of Section 16 or for any other purposes. Shares allocated to the account of Mr. Mark E. Goldstein under an Employee Stock Ownership Plan as of December 31, 2004 Mark Goldstein may be deemed to be a beneficial owner of shares held by the Goldstein Family Partnership, Ltd. (the "Partnership"), for which the Goldstein Family Corporation is the general partner. These 524,932 shares are held by the Partnership and represent a portion of the total shares of common stock of Scott's Liquid Gold-Inc. (the "Company") held by the Partnership, based upon Mark E. Goldstein's and the Goldstein Family Corporation's share of any profits of the Partnership. The Goldstein Family Corporation is the sole general partner of the Partnership. The reporting person disclaims beneficial ownership, and this report shall not be deemed to be an admission that the reporting person is a beneficial owner of such shares for the purposes of Section 16 or for any other purposes. These 500,132 shares are held by the Partnership and represent a portion of the total shares of the common stock of the Company held by the Partnership, based upon a share of any profits of the Partnership, held by a charitable remainder trust of which Mark E. Godlstein is the trustee and a beneficiary. The reporting person disclaims beneficial ownership of all shares held by the Partnership, and this report shall not be deemed to be an admission that the reporting person is a beneficial owner of such shares for purposes of Section 16 or for any other pruposes. These shares are held by the Partnership and represent a portion of the total shares of common stock of the Company, held by the Partnership, based upon a share of any profits of the Partnership held by Mark E. Goldstein as a custodian for minor children. The reporting person disclaims beneficial ownership of all shares held by the Partnership, and this report shall not be deemed to be an admission that the reporting person is a beneficial owner of such shares for purposes of Section or for any other purposes. Mark E. Goldstein 2005-08-11 -----END PRIVACY-ENHANCED MESSAGE-----