0001144204-16-136458.txt : 20161123 0001144204-16-136458.hdr.sgml : 20161123 20161123194023 ACCESSION NUMBER: 0001144204-16-136458 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161114 FILED AS OF DATE: 20161123 DATE AS OF CHANGE: 20161123 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Xtant Medical 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: 664 CRUISER LANE CITY: BELGRADE STATE: MT ZIP: 59714 BUSINESS PHONE: 406-388-0480 MAIL ADDRESS: STREET 1: 664 CRUISER LANE CITY: BELGRADE STATE: MT ZIP: 59714 FORMER COMPANY: FORMER CONFORMED NAME: Bacterin International Holdings, Inc. DATE OF NAME CHANGE: 20100615 FORMER COMPANY: FORMER CONFORMED NAME: K KITZ INC DATE OF NAME CHANGE: 20090108 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Swanson Kent L CENTRAL INDEX KEY: 0001298906 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34951 FILM NUMBER: 162017578 MAIL ADDRESS: STREET 1: 6335 E. TUFTS AVE CITY: ENGLEWOOD STATE: CO ZIP: 80111 4 1 v453904_4.xml OWNERSHIP DOCUMENT X0306 4 2016-11-14 0 0001453593 Xtant Medical Holdings, Inc. XTNT 0001298906 Swanson Kent L 664 CRUISER LANE BELGRADE MT 59714 1 0 0 0 Common Stock 2016-11-17 4 X 0 150000 0.75 A 266693 D Common Stock 20000 I By Limited Partnership Subscription Rights (right to receive) 0.75 2016-11-14 4 X 0 150000 0 D 2016-10-31 2016-11-14 See footnote 150000 0 D Warrants (right to buy) 0.90 2016-11-17 4 X 0 150000 A 2016-11-17 2021-11-17 Common Stock 150000 150000 D The common stock and the warrants reported on this Form 4 were acquired pursuant to the exercise of subscription rights previously distributed by the Issuer to all holders of the Issuer's common stock and outstanding convertible notes. Each holder received 2 subscription rights per share of stock owned, and each right allowed the recipient to purchase one unit, consisting of one share of common stock and one warrant to purchase one share of common stock. The subscription price per unit was $0.75. Each warrant entitles the holder to purchase one share of the Company's common stock at an exercise price of $0.90 from the date of issuance through November 17, 2021. /s/ Kent L. Swanson 2016-11-23