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