Filing Details

Accession Number:
0001354488-13-003764
Form Type:
4
Zero Holdings:
No
Publication Time:
2013-07-02 14:42:15
Reporting Period:
2013-06-28
Filing Date:
2013-07-02
Accepted Time:
2013-07-02 14:42:15
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1054274 Alliqua Inc. ALQA Surgical & Medical Instruments & Apparatus (3841) 582349413
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1509308 D. Kenneth Pearsen 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 2013-06-28 123,457 $0.00 123,457 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
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 2013-06-28 123,457 $0.00 123,457 $0.10
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
123,457 2013-06-28 2018-06-28 No 4 A Direct
Footnotes
  1. Dr. Pearsen purchased, as part of a private placement transaction on June 28, 2013, 123,457 units at a price per unit of $0.081, with each unit consisting of 1 share of common stock and a warrant to purchase 1 share of common stock at an exercise price of $0.097 per share.