0001144204-13-031969.txt : 20130529
0001144204-13-031969.hdr.sgml : 20130529
20130529104055
ACCESSION NUMBER: 0001144204-13-031969
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130524
FILED AS OF DATE: 20130529
DATE AS OF CHANGE: 20130529
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Bacterin International Holdings, Inc.
CENTRAL INDEX KEY: 0001453593
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
IRS NUMBER: 205313323
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 600 CRUISER LANE
CITY: BELGRADE
STATE: MT
ZIP: 59714
BUSINESS PHONE: 406-388-0480
MAIL ADDRESS:
STREET 1: 600 CRUISER LANE
CITY: BELGRADE
STATE: MT
ZIP: 59714
FORMER COMPANY:
FORMER CONFORMED NAME: K KITZ INC
DATE OF NAME CHANGE: 20090108
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GANDOLFO JOHN P
CENTRAL INDEX KEY: 0001200155
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34951
FILM NUMBER: 13876994
MAIL ADDRESS:
STREET 1: 62 TERRACE ROAD
CITY: WAYNE
STATE: NJ
ZIP: 07470
4
1
v346446_4.xml
OWNERSHIP DOCUMENT
X0306
4
2013-05-24
0
0001453593
Bacterin International Holdings, Inc.
BONE
0001200155
GANDOLFO JOHN P
664 CRUISER LANE
BELGRADE
MT
59714
0
1
0
0
CFO and Interim Co-CEO
Employee Stock Option
0.68
2013-05-24
4
A
0
70000
0
A
2014-05-24
2023-05-24
Common Stock
70000
70000
D
Restricted Stock Unit
2013-05-24
4
A
0
100500
0
A
Common Stock
100500
100500
D
Each restricted stock unit represents the contingent right to receive one share of Bacterin common stock.
The restricted stock units vest on May 24, 2014.
/s/ John Gandolfo
2013-05-29