0001463205-11-000021.txt : 20111020
0001463205-11-000021.hdr.sgml : 20111020
20111020203811
ACCESSION NUMBER: 0001463205-11-000021
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111020
FILED AS OF DATE: 20111020
DATE AS OF CHANGE: 20111020
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Roberts Kent Charles II
CENTRAL INDEX KEY: 0001526142
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-19709
FILM NUMBER: 111150982
MAIL ADDRESS:
STREET 1: 1146 OXFORD ROAD
CITY: SAN MARINO
STATE: CA
ZIP: 91108
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: 16333 PHOEBE AVENUE
CITY: LA MIRADA
STATE: CA
ZIP: 90638
BUSINESS PHONE: 949-643-9540
MAIL ADDRESS:
STREET 1: 16333 PHOEBE AVENUE
CITY: LA MIRADA
STATE: CA
ZIP: 90638
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
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0304
4
2011-10-20
0
0000880242
BIOLARGO, INC.
BLGO
0001526142
Roberts Kent Charles II
1146 OXFORD ROAD
SAN MARINO
CA
91108
1
0
0
0
COMMON STOCK
2011-10-20
4
C
0
440000
0.5
A
526225
I
Title in the securities held by a corporation wholly owned by Reporting Person.
The securities reported herein were issued upon the conversion, at the option of Issuer, upon the maturity of a convertible promissory note purchased from Issuer by Reporting Person in Fall 2008. The price of conversion set forth in the convertible note is $0.50 per share.
KENT C. ROBERTS II
2011-10-20