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Filing Details

Accession Number:: 0001354488-13-003811
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2013-07-03 19:27:07
Reporting Period:: 2012-05-31

Filing Date:: 2013-07-03
Accepted Time:: 2013-07-03 19:27:07
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
1205074	Richard Rosenblum	850 Third Avenue, Suite 1801 New York NY 10022		Yes	No	Yes	No
1320581	David Stefansky	850 Third Avenue, Suite 1801 New York NY 10022		Yes	No	Yes	No
1492020	Harborview Capital Management, Llc	850 Third Avenue, Suite 1801 New York NY 10022		Yes	No	Yes	No
1509151	Harborview Value Master Fund, L.p.	850 Third Avenue, Suite 1801 New York NY 10022	-	Yes	Yes	Yes	No

Reported Non-Derivative Transactions

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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	8,144,719	$0.00	35,259,015	No	4	A	Indirect	See Footnotes
Common Stock	Acquisiton	2013-06-28	617,284	$0.00	35,876,299	No	4	P	Indirect	See Footnotes

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	A	Indirect	See Footnotes
No	4	P	Indirect	See Footnotes

Reported Derivative Transactions

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Sec. Name	Sec. Type	Acquisiton - Disposition	Date	Amount	Price	Amount - 2	Price - 2
Common Stock	Stock Option (right to buy)	Acquisiton	2012-05-31	5,000,000	$0.00	5,000,000	$0.20
Common Stock	Stock Option (right to buy)	Acquisiton	2012-05-31	500,000	$0.00	500,000	$0.20
Common Stock	Common Stock Warrants (right to buy)	Acquisiton	2013-06-28	617,284	$0.00	617,284	$0.10

Remaning Holdings	Exercise Date	Expiration Date	Equity Swap Involved	Transaction Form Type	Transaction Code	Nature of Ownership
5,000,000		2022-05-31	No	4	A	Indirect
500,000		2022-05-31	No	4	A	Indirect
617,284	2013-06-28	2018-06-28	No	4	A	Indirect

Footnotes

This statement is jointly filed by and on behalf of each of Harborview Value Master Fund, L.P. ("Harborview Value Fund"), Harborview Advisors, LLC ("Harborview Advisors"), Harborview Capital Management, LLC ("Harborview Management"), Richard Rosenblum and David Stefansky. Harborview Value Fund, Harborview Management and Messrs. Rosenblum and Stefansky are the record and direct beneficial owners of the securities covered by this statement. Harborview Advisors is the general partner of, and may be deemed to beneficially own securities owned by, Harborview Value Fund. Messrs. Rosenblum and Stefansky are the managing members of, and may be deemed to beneficially own securities owned by, each of Harborview Advisors and Harborview Management.
Each reporting person states that neither the filing of this statement nor anything herein shall be deemed an admission that such person is, for purposes of Section 16 of the Securities Exchange Act of 1934, as amended (the "Act") or otherwise, the beneficial owner of any securities covered by this statement. Each reporting person disclaims beneficial ownership of the securities covered by this statement, except to the extent of the pecuniary interest of such person in such securities.
Each reporting person may be deemed to be a member of a group with respect to the Issuer or securities of the Issuer for purposes of Section 13(d) or 13(g) of the Act. Each reporting person declares that neither the filing of this statement nor anything herein shall be construed as an admission that such person is, for the purposes of Section 13(d) or 13(g) of the Act or any other purpose, a member of a group with respect to the Issuer or securities of the Issuer.
Includes, prior to the acquisitions reported on this Form 4, (a) 14,227,394 shares of common stock directly beneficially owned by Harborview Value Fund, (b) 310,000 shares of common stock directly beneficially owned by Harborview Management, (c) 4,028,571 shares of common stock directly beneficially owned by Mr. Rosenblum, (d) 617,284 shares of common stock owned by The Corbran, LLC, an entity controlled by Mr. Rosenblum, and (d) 7,931,047 shares of common stock directly beneficially owned by Mr. Stefansky.
On June 28, 2013, in consideration of a consulting agreement entered into between the Issuer and Mr. Rosenblum in connection with a separation and release agreement between the Issuer and Mr. Rosenblum that terminated Mr. Rosenblum's employment agreement with the Issuer, the Issuer, among other things, issued to Mr. Rosenblum 8,144,719 shares of common stock.
Mr. Stefansky purchased, as part of a private placement transaction on June 28, 2013, 617,284 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.
Represents stock option to purchase 5,000,000 shares of common stock granted to and accepted by Mr. Stefansky on May 31, 2012 pursuant to the Alliqua, Inc. 2011 Long-Term Incentive Plan, pursuant to Mr. Stefansky's employment agreement with the Issuer.
The option vests in three equal annual installments beginning on May 31, 2013.
Represents stock option to purchase 500,000 shares of common stock granted outside of the Issuer's stock option plans, granted to and accepted by Mr. Stefansky on May 31, 2012, pursuant to Mr. Stefansky's employment agreement with the Issuer.