0001437749-17-008044.txt : 20170504
0001437749-17-008044.hdr.sgml : 20170504
20170504180448
ACCESSION NUMBER: 0001437749-17-008044
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170502
FILED AS OF DATE: 20170504
DATE AS OF CHANGE: 20170504
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: BIOLARGO, INC.
CENTRAL INDEX KEY: 0000880242
STANDARD INDUSTRIAL CLASSIFICATION: CHEMICALS & ALLIED PRODUCTS [2800]
IRS NUMBER: 650159115
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 14921 CHESTNUT ST.
CITY: WESTMINSTER
STATE: CA
ZIP: 92683
BUSINESS PHONE: 949-643-9540
MAIL ADDRESS:
STREET 1: 14921 CHESTNUT ST.
CITY: WESTMINSTER
STATE: CA
ZIP: 92683
FORMER COMPANY:
FORMER CONFORMED NAME: NUWAY MEDICAL INC
DATE OF NAME CHANGE: 20030205
FORMER COMPANY:
FORMER CONFORMED NAME: NUWAY ENERGY INC
DATE OF NAME CHANGE: 20010815
FORMER COMPANY:
FORMER CONFORMED NAME: LATIN AMERICAN CASINOS INC
DATE OF NAME CHANGE: 19960520
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CALVERT DENNIS P
CENTRAL INDEX KEY: 0001228572
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-19709
FILM NUMBER: 17815534
MAIL ADDRESS:
STREET 1: 3500 GARRY AVE
CITY: SANTA ANA
STATE: CA
ZIP: 92704
4
1
rdgdoc.xml
FORM 4
X0306
4
2017-05-02
0000880242
BIOLARGO, INC.
BLGO
0001228572
CALVERT DENNIS P
14921 CHESTNUT ST.
WESTMINSTER
CA
92683
1
1
President
Common Stock
2017-05-02
4
A
0
1500000
0.45
A
8507528
D
Option to Purchase Common Stock
0.45
2017-05-02
4
A
0
3731322
A
2018-05-02
2027-05-02
Common Stock
3731322
4883296
D
The shares issued are unvested as set forth in a Lock-Up Agreement dated May 2, 2017 (filed as Exhibit 10.3 to the Form 8-K filed by Issuer May 4, 2017).
These shares were issued to reporting person as consideration for services to be provided pursuant to an employment agreement with Issuer dated May 2, 2017. The Price indicated reflects the closing price of Issuer's common stock as of the date of issuance.
Includes 1,528,695 shares beneficially owned indirectly by Reporting Person through ownership of New Millennium Capital Partners LLC; includes 385,000 shares beneficially owned indirectly by Reporting person as trustee for a special needs trust for the benefit of his daughter.
The option shares vest equally in five increments at each anniversary of the grant date, so long as Reporting Person's employment agreement with Issuer dated May 2, 2017 is not terminated.
The option was awarded to Reporting Person as consideration for services to be provided pursuant to an employment agreement with Issuer dated May 2, 2017.
Includes an option to purchase 691,974 shares beneficially owned indirectly by Reporting Person through ownership of New Millennium Capital Partners LLC.
/s/ John R. Browning, Attorney-In-Fact
2017-05-04