0001144204-11-048147.txt : 20110817
0001144204-11-048147.hdr.sgml : 20110817
20110817143356
ACCESSION NUMBER: 0001144204-11-048147
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110816
FILED AS OF DATE: 20110817
DATE AS OF CHANGE: 20110817
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: 111042269
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
v232683_4.xml
OWNERSHIP DOCUMENT
X0304
4
2011-08-16
0
0001453593
Bacterin International Holdings, Inc.
BONE
0001514546
WICKWIRE JON M.
600 CRUISER LANE
BELGRADE
MT
59714
1
0
0
0
Common Stock
2011-08-16
4
P
0
6500
2.05
A
85509
D
Common Stock
2011-08-16
4
P
0
13000
2.05
A
225031
I
By Trust
Common Stock
13300
I
By Trust
Common Stock
13299
I
By Trust
/s/ Jon Wickwire
2011-08-17