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