0001209191-14-012277.txt : 20140220
0001209191-14-012277.hdr.sgml : 20140220
20140220152717
ACCESSION NUMBER: 0001209191-14-012277
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140218
FILED AS OF DATE: 20140220
DATE AS OF CHANGE: 20140220
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: AMEDICA Corp
CENTRAL INDEX KEY: 0001269026
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1885 WEST 2100 STREET
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84119
BUSINESS PHONE: 801-839-3516
MAIL ADDRESS:
STREET 1: 1885 WEST 2100 STREET
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84119
FORMER COMPANY:
FORMER CONFORMED NAME: AMEDICA CORP
DATE OF NAME CHANGE: 20031104
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Truetzel David W.
CENTRAL INDEX KEY: 0001593649
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33624
FILM NUMBER: 14629321
MAIL ADDRESS:
STREET 1: C/O AMEDICA CORPORATION
STREET 2: 1885 WEST 2100 STREET
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84119
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2014-02-18
0
0001269026
AMEDICA Corp
AMDA
0001593649
Truetzel David W.
C/O AMEDICA CORPORATION, 1885 WEST 2100
SALT LAKE CITY
UT
84119
1
0
0
0
Common Stock
2014-02-18
4
P
0
5000
5.8163
A
8297
D
Common Stock
2014-02-19
4
C
0
337
A
8634
D
Common Stock
2014-02-19
4
C
0
11064
A
11064
I
See Footnote
Common Stock
2014-02-19
4
C
0
15625
A
15625
I
See Footnote
Series C Preferred Stock
2014-02-19
4
C
0
63939
0.00
D
Common Stock
2779
0
I
See Footnote
Series E Preferred Stock
2014-02-19
4
C
0
7660
0.00
D
Common Stock
337
0
D
Series E Preferred Stock
2014-02-19
4
C
0
187936
0.00
D
Common Stock
8285
0
I
See Footnote
Series F Preferred Stock
2014-02-19
4
C
0
62500
0.00
D
Common Stock
15625
0
I
See Footnote
Each share of Series C Convertible Preferred Stock converted into 1.1206 shares of the Issuer's Common Stock pursuant to the terms of the Certificate of Designation for Series C Convertible Preferred Stock of the Issuer and had no expiration date.
Each share of Series E Convertible Preferred Stock converted into 1.1363 shares of the Issuer's Common Stock pursuant to the terms of the Certificate of Designation for Series E Convertible Preferred Stock of the Issuer and had no expiration date.
Each share of Series F Convertible Preferred Stock converted into 6.44370 shares of the Issuer's Common Stock pursuant to the terms of the Certificate of Designation for Series F Convertible Preferred Stock of the Issuer and had no expiration date.
Shares held by Spinal Management, LLC, of which the Reporting Person is a 50% member.
Shares held by Truetzel Revocable Trust, to which the Reporting Person and his spouse are the sole beneficiaries.
Reflects a 1-for-25.7746 reverse split of the Issuer's common stock effected on February 11, 2014.
/s/ Jonathan Ursprung
2014-02-20