0001144204-11-033536.txt : 20110601
0001144204-11-033536.hdr.sgml : 20110601
20110601162702
ACCESSION NUMBER: 0001144204-11-033536
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110531
FILED AS OF DATE: 20110601
DATE AS OF CHANGE: 20110601
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WICKWIRE JON M.
CENTRAL INDEX KEY: 0001514546
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34951
FILM NUMBER: 11885342
MAIL ADDRESS:
STREET 1: 600 CRUISER LANE
CITY: BELGRADE
STATE: MT
ZIP: 59714
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
v224761_ex.xml
X0303
4
2011-05-31
0
0001453593
Bacterin International Holdings, Inc.
BONE
0001514546
WICKWIRE JON M.
600 CRUISER LANE
BELGRADE
MT
59714
1
0
0
0
Common Stock
2011-05-31
4
X
0
16509
1.16
A
16509
D
Common Stock
2011-05-31
4
X
0
8333
2
A
8333
I
By Trust
Common Stock
2011-05-31
4
X
0
1875
2
A
1875
I
By Trust
Common Stock
2011-05-31
4
X
0
18750
2
A
18750
I
By Trust
Common Stock
2011-05-31
4
X
0
1875
2
A
1875
I
By Trust
Warrant
1.16
2011-05-31
4
X
0
16509
0
D
2015-01-01
Common Stock
16509
0
D
Warrant
2
2011-05-31
4
X
0
8333
0
D
2009-02-18
2013-10-29
Common Stock
8333
0
I
By Trust
Warrant
2
2011-05-31
4
X
0
1875
0
D
2008-01-01
2012-12-31
Common Stock
1875
0
I
By Trust
Warrant
2
2011-05-31
4
X
0
18750
0
D
2008-01-01
2012-12-31
Common Stock
18750
0
I
By Trust
Warrant
2
2011-05-31
4
X
0
1875
0
D
2008-01-01
2012-12-31
Common Stock
1875
0
I
By Trust
not known
/s/ Jill Gilpin, attorney-in-fact
2011-06-01