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