Filing Details

Accession Number:
0001354488-13-000857
Form Type:
4
Zero Holdings:
No
Publication Time:
2013-02-25 14:54:30
Reporting Period:
2013-02-22
Filing Date:
2013-02-25
Accepted Time:
2013-02-25 14:54:30
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
1433982 B Jerome Zeldis 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 2013-02-22 1,234,568 $0.00 1,234,568 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 2013-02-22 1,234,568 $0.00 1,234,568 $0.10
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
1,234,568 2013-02-22 2018-02-22 No 4 A Direct
Footnotes
  1. Mr. Zeldis purchased, as part of a private placement transaction on February 22, 2013, 1,234,568 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.