0001144204-11-034262.txt : 20110606
0001144204-11-034262.hdr.sgml : 20110606
20110606185640
ACCESSION NUMBER: 0001144204-11-034262
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110602
FILED AS OF DATE: 20110606
DATE AS OF CHANGE: 20110606
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: COOK GUY S
CENTRAL INDEX KEY: 0001508469
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34951
FILM NUMBER: 11896711
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
v225160_ex.xml
X0303
4
2011-06-02
0
0001453593
Bacterin International Holdings, Inc.
BONE
0001508469
COOK GUY S
600 CRUISER LANE
BELGRADE
MT
59714
1
1
1
0
CEO
Common Stock
2011-06-06
4
S
0
150000
2.9721
D
12952171
D
Warrant
3.52
2011-06-02
4
S
0
36000
0
D
2011-11-06
2016-05-06
Common Stock
36000
20818
D
/s/ Guy Cook
2011-06-06