0001463205-12-000023.txt : 20121231 0001463205-12-000023.hdr.sgml : 20121231 20121231143046 ACCESSION NUMBER: 0001463205-12-000023 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121228 FILED AS OF DATE: 20121231 DATE AS OF CHANGE: 20121231 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 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: 121293293 MAIL ADDRESS: STREET 1: 16150 HERON AVENUE CITY: LA MIRADA STATE: CA ZIP: 90638 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2012-12-28 0 0000880242 BIOLARGO, INC. BLGO 0001228572 CALVERT DENNIS P 16333 PHOEBE AVENUE LA MIRADA CA 90638 1 1 0 0 President and Chief Executive COMMON STOCK 2012-12-28 4 A 0 400000 0 A 3524235 D COMMON STOCK 2012-12-28 4 A 0 497507 0 A 4021742 D COMMON STOCK 2012-12-31 4 G 0 40000 0 D 3981742 D These shares were issued to Reporting Person as a bonus for bona-fide services provided to the Issuer. Includes 1,528,695 shares owned indirectly by Reporting Person through a limited liability company owned and controlled by Reporting Person. These shares were issued to the Reporting Person in exchange for a reduction of $149,252 in unpaid salary owed to Reporting Person by Issuer. These shares were gifted by Reporting Person to a registered charity. DENNIS P. CALVERT 2012-12-31