0001209191-12-009184.txt : 20120210
0001209191-12-009184.hdr.sgml : 20120210
20120210173537
ACCESSION NUMBER: 0001209191-12-009184
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111231
FILED AS OF DATE: 20120210
DATE AS OF CHANGE: 20120210
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GERWITZ HERMAN MARK
CENTRAL INDEX KEY: 0001358339
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-20333
FILM NUMBER: 12594375
MAIL ADDRESS:
STREET 1: 622 ARGYLE ROAD
CITY: WYNNEWOOD
STATE: PA
ZIP: 19096
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: NOCOPI TECHNOLOGIES INC/MD/
CENTRAL INDEX KEY: 0000888981
STANDARD INDUSTRIAL CLASSIFICATION: GAMES, TOYS & CHILDREN'S VEHICLES (NO DOLLS & BICYCLES) [3944]
IRS NUMBER: 870406496
STATE OF INCORPORATION: MD
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 9C PORTLAND ROAD
CITY: WEST CONSHOHOCKEN
STATE: PA
ZIP: 19428-2716
BUSINESS PHONE: 6108349600
MAIL ADDRESS:
STREET 1: 9C PORTLAND ROAD
CITY: WEST CONSHOHOCKEN
STATE: PA
ZIP: 19428-2716
5
1
doc5.xml
FORM 5 SUBMISSION
X0304
5
2011-12-31
0
0
0
0000888981
NOCOPI TECHNOLOGIES INC/MD/
NNUP
0001358339
GERWITZ HERMAN MARK
C/O NOCOPI TECHOLOGIES, INC.,
9C PORTLAND ROAD
WEST CONSHOHOCKEN
PA
19428
1
0
0
0
Common stock, $.01 par value
6000
I
IRA
Common stock, $.01 par value
2011-11-15
5
J
0
33333
0.045
A
200833
D
Common stock, $.01 par value
72500
I
Daughter
Common stock, $.01 par value
50000
I
M. Gerwitz UGMA
Stock Option (Right to Buy)
0.45
2009-01-01
2013-04-29
Common Stock
100000
100000
D
Common stock warrants
0.0703
2010-05-06
2015-03-21
Common Stock
7500
7500
D
Conversion of short-term loan.
Herman M. Gerwitz
2012-02-10