0001463205-13-000010.txt : 20130927 0001463205-13-000010.hdr.sgml : 20130927 20130927160407 ACCESSION NUMBER: 0001463205-13-000010 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130925 FILED AS OF DATE: 20130927 DATE AS OF CHANGE: 20130927 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: 3500 W. GARRY AVENUE CITY: SANTA ANA STATE: CA ZIP: 92704 BUSINESS PHONE: 949-643-9540 MAIL ADDRESS: STREET 1: 3500 W. GARRY AVENUE CITY: SANTA ANA STATE: CA ZIP: 92704 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: PROVENZANO JOSEPH L CENTRAL INDEX KEY: 0001252962 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19709 FILM NUMBER: 131119982 MAIL ADDRESS: STREET 1: 3500 W. GARRY AVENUE CITY: SANTA ANA STATE: CA ZIP: 92704 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2013-09-25 0 0000880242 BIOLARGO, INC. BLGO 0001252962 PROVENZANO JOSEPH L 3500 W. GARRY AVENUE SANTA ANA CA 92704 1 1 0 0 SECRETARY COMMON STOCK 2013-09-25 4 A 0 55450 0.3 A 939366 D These shares are restricted from sale until the earlier of (i) Reporting Person's employment with Issuer is terminated, or (ii) the Issuer reports a "change in control" on Form 8-K. These shares were issued to Reporting Person as payment for $16,635 in fees due to Reporting Person for services as Issuer's corporate Secretary and president of a subsidiary, pursuant to a plan adopted by the Issuer's Board to retire outstanding accounts payable. JOSEPH L. PROVENZANO 2013-09-27