0001144204-11-065295.txt : 20111116 0001144204-11-065295.hdr.sgml : 20111116 20111116110857 ACCESSION NUMBER: 0001144204-11-065295 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111115 FILED AS OF DATE: 20111116 DATE AS OF CHANGE: 20111116 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: 111209097 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 v240929_4.xml OWNERSHIP DOCUMENT X0304 4 2011-11-15 0 0001453593 Bacterin International Holdings, Inc. BONE 0001298377 Godfrey Mitchell T 600 CRUISER LANE BELGRADE MT 59714 1 0 0 0 Stock Option 2.95 2011-11-15 4 A 0 150000 0 A 2021-11-15 Common Stock 150000 150000 D The option becomes exercisable in three equal annual installments beginning on the first anniversary of the date of grant /s/ Mitchell Godfrey 2011-11-16