Filing Details

Accession Number:
0001354488-12-005799
Form Type:
4
Zero Holdings:
No
Publication Time:
2012-11-13 19:40:50
Reporting Period:
2012-09-28
Filing Date:
2012-11-13
Accepted Time:
2012-11-13 19:40:50
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1054274 Alliqua Inc. ALQA.OB Surgical & Medical Instruments & Apparatus (3841) 582349413
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1449534 L Kenneth Londoner 850 Third Avenue
Suite 1801
New York NY 10022
Yes No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2012-09-28 600,000 $0.00 1,240,000 No 4 P Direct
Common Stock Acquisiton 2012-11-08 400,000 $0.00 1,640,000 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
No 4 P Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Common Stock Warrants (right to buy) Acquisiton 2012-09-28 300,000 $0.00 300,000 $0.05
Common Stock Common Stock Warrants (right to buy) Acquisiton 2012-11-08 400,000 $0.00 400,000 $0.05
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
300,000 2012-09-28 2017-09-28 No 4 A Direct
400,000 2012-11-08 2017-11-08 No 4 A Direct
Footnotes
  1. Mr. Londoner purchased, as part of a private placement transaction on September 28, 2012, 600,000 units at a price per unit of $0.05, with each unit consisting of 1 share of common stock and a warrant to purchase 0.5 of a share of common stock.
  2. Mr. Londoner purchased, as part of a private placement transaction on November 8, 2012, 400,000 units at a price per unit of $0.05, with each unit consisting of 1 share of common stock and a warrant to purchase 1 share of common stock.