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