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