0001463205-12-000018.txt : 20121004
0001463205-12-000018.hdr.sgml : 20121004
20121004193751
ACCESSION NUMBER: 0001463205-12-000018
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121002
FILED AS OF DATE: 20121004
DATE AS OF CHANGE: 20121004
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: 121130617
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: 16150 HERON AVENUE
CITY: LA MIRADA
STATE: CA
ZIP: 90638
BUSINESS PHONE: 949-643-9540
MAIL ADDRESS:
STREET 1: 16150 HERON 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
X0306
4
2012-10-02
0
0000880242
BIOLARGO, INC.
BLGO
0001526142
Roberts Kent Charles II
1146 OXFORD ROAD
SAN MARINO
CA
91108
1
0
0
0
Option to purchase common stock
0.4
2012-10-02
4
A
0
37500
0
A
2012-10-02
2022-10-02
Common Stock
37500
733671
D
Option to purchase common stock
0.4
2012-10-02
4
A
0
10000
0
A
2013-10-02
2022-10-02
Common Stock
10000
743671
D
This Option was issued to the Reporting Person in exchange for a reduction of $10,000 in fees owed by the Issuer for services on its board of directors.
The options issued to Reporting Person reported on this Form 4 are held directly by Reporting Person. The total number of derivative securities beneficially owned by Reporting Person reported in Column 9 includes options to purchase an aggregate 542,858 shares of the Issuer's common stock held indirectly by Reporting Person through a corporation wholly owned by Reporting Person.
This Option was issued to the Reporting Person pursuant to the terms of the Issuer's 2007 Equity Incentive Plan, as amended, as an automatic grant to a non-employee Director.
Kent C Roberts II
2012-10-04