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