0001209191-14-052507.txt : 20140814 0001209191-14-052507.hdr.sgml : 20140814 20140814191514 ACCESSION NUMBER: 0001209191-14-052507 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140219 FILED AS OF DATE: 20140814 DATE AS OF CHANGE: 20140814 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: Kipke Arthur Karl CENTRAL INDEX KEY: 0001599635 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33624 FILM NUMBER: 141044768 MAIL ADDRESS: STREET 1: C/O AMEDICA CORPORATION STREET 2: 1885 WEST 2100 STREET SOUTH CITY: SALT LAKE CITY STATE: UT ZIP: 84119 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2014-02-19 1 0001269026 AMEDICA Corp AMDA 0001599635 Kipke Arthur Karl C/O HAMPSHIRE GROUP, LLC 500 PLAZA ON THE LAKE, SUITE #103 AUSTIN TX 78746 0 0 1 0 Common Stock 2014-08-12 4 J 0 25915 0.00 D 0 I See Footnote Common Stock 2014-08-12 4 J 0 1303347 0.00 D 1250 D Common Stock 2014-02-19 4 J 0 115656 0.00 D 115656 I See Footnote Prorata distribution from Hampshire Healthcare Partners LP to its limited partners. The reporting Person is the managing member of Hampshire Special Opportunities LLC, the general partner of Hampshire Healthcare Partners, LP Prorata distribution from Hampshire Med Tech Partners GP to its limited partners. The Reporting Person is the managing member of the general partner of Hampshire Med Tech Partners GP and also a limited partner and accordingly received its prorata distribution. Prorata distribution from KM Holdings LP to its limited partners. The Reporting Person shares voting and dispositive powers with respect to these shares and disclaims beneficial ownership except to the extent of his pecuniary interests therein. /s/ Kevin Ontiveros, by Power of Attorney 2014-02-14