0001144204-11-047873.txt : 20110816
0001144204-11-047873.hdr.sgml : 20110816
20110816143223
ACCESSION NUMBER: 0001144204-11-047873
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110816
FILED AS OF DATE: 20110816
DATE AS OF CHANGE: 20110816
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: 111039672
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
v232499_ex.xml
OWNERSHIP DOCUMENT
X0304
4
2011-08-16
0
0001453593
Bacterin International Holdings, Inc.
BONE
0001298377
Godfrey Mitchell T
600 CRUISER LANE
BELGRADE
MT
59714
1
0
0
0
Common Stock
2011-08-16
4
S
0
5000
2
D
774467
D
Common Stock
2011-08-16
4
S
0
3000
1
D
771467
D
Common Stock
2011-08-16
4
S
0
20000
2.085
D
751467
D
Common Stock
50666
I
By Spouse
/s/ Mitchell Godfrey
2011-08-16