Filing Details

Accession Number:
0001354488-12-000796
Form Type:
4
Zero Holdings:
No
Publication Time:
2012-02-21 17:30:07
Reporting Period:
2012-02-16
Filing Date:
2012-02-21
Accepted Time:
2012-02-21 17:30:07
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
1509170 Jeffrey Sklar 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 2012-02-16 1,000,000 $0.00 1,280,000 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 2012-02-16 500,000 $0.00 500,000 $0.07
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
1,780,000 2012-02-16 2017-02-16 No 4 P Direct
Footnotes
  1. Mr. Sklar purchased, as part of a private placement transaction on February 16, 2012, 1,000,000 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.