0001144204-11-045094.txt : 20110809 0001144204-11-045094.hdr.sgml : 20110809 20110809185424 ACCESSION NUMBER: 0001144204-11-045094 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110808 FILED AS OF DATE: 20110809 DATE AS OF CHANGE: 20110809 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Godfrey Mitchell T CENTRAL INDEX KEY: 0001298377 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34951 FILM NUMBER: 111022279 MAIL ADDRESS: STREET 1: P.O. BOX 10206 CITY: BOZEMAN STATE: MT ZIP: 59719 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 4 1 v231468_4.xml OWNERSHIP DOCUMENT X0304 4 2011-08-08 0 0001453593 Bacterin International Holdings, Inc. BONE 0001298377 Godfrey Mitchell T 600 CRUISER LANE BELGRADE MT 59714 1 0 0 0 Common Stock 2011-08-08 4 A 0 120000 0 A 794452 D Common Stock 50666 I By Spouse /s/ Mitchell Godfrey 2011-08-09