SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
GOLDSTEIN MARK E

(Last) (First) (Middle)
4880 HAVANA ST

(Street)
DENVER CO 80239

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
SCOTTS LIQUID GOLD INC [ SLGD ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
C.O.B., President & C.E.O.
3. Date of Earliest Transaction (Month/Day/Year)
08/11/2005
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 08/11/2005 P 20,000 A $0.58 378,990 D
Common Stock 25,890 I(1) By Spouse
Common Stock 28,890 I(1) By Minor Daughter
Common Stock 28,890 I(1) By Minor Son
Common Stock 18,222 I(1) By Minor Son
Common Stock 111,280 I(2) By ESOP
Common Stock 524,932 I(3)(4) By Partnership
Common Stock 500,132 I(3)(5) By Partnership and Trust
Common Stock 122,541 I(1)(3)(6) By Minor Children
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Incentive Stock Option (right to buy) $0.7557 12/04/2000 12/03/2005 Common Stock 50,000 50,000 D
Incentive Stock Option (right to buy) $0.682 11/28/2003 11/27/2008 Common Stock 70,500 70,500 D
Incentive Stock Option (right to buy) $0.594 05/04/2005 05/03/2010 Common Stock 80,000 80,000 D
Explanation of Responses:
1. 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.
2. Shares allocated to the account of Mr. Mark E. Goldstein under an Employee Stock Ownership Plan as of December 31, 2004
3. 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.
4. 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.
5. 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.
6. 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 08/11/2005
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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