0001144204-14-054722.txt : 20140908
0001144204-14-054722.hdr.sgml : 20140908
20140908130224
ACCESSION NUMBER: 0001144204-14-054722
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140904
FILED AS OF DATE: 20140908
DATE AS OF CHANGE: 20140908
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: 141090030
MAIL ADDRESS:
STREET 1: 62 TERRACE ROAD
CITY: WAYNE
STATE: NJ
ZIP: 07470
4
1
v388674_4.xml
OWNERSHIP DOCUMENT
X0306
4
2014-09-04
0
0001453593
Bacterin International Holdings, Inc.
BONE
0001200155
GANDOLFO JOHN P
664 CRUISER LANE
BELGRADE
MT
59714
0
1
0
0
CFO
Employee Stock Option
5.01
2014-09-04
4
A
0
30000
0
A
2024-09-04
Common Stock
30000
30000
D
The Option will vest as follows: (i) twenty percent (20%), or 6,000 underlying shares, will vest on September 4, 2015 and (ii) the remaining eighty percent (80%) will vest in forty-eight (48) equal monthly installments as to 500 underlying shares, beginning October 4, 2015 and ending on September 4, 2019.
/s/ John Gandolfo
2014-09-08