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