0001144204-11-051752.txt : 20110908
0001144204-11-051752.hdr.sgml : 20110908
20110908111936
ACCESSION NUMBER: 0001144204-11-051752
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110907
FILED AS OF DATE: 20110908
DATE AS OF CHANGE: 20110908
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: 111079937
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
v234387_4.xml
OWNERSHIP DOCUMENT
X0304
4
2011-09-07
0
0001453593
Bacterin International Holdings, Inc.
BONE
0001514546
WICKWIRE JON M.
600 CRUISER LANE
BELGRADE
MT
59714
1
0
0
0
Common Stock
2011-09-07
4
P
0
6000
1.87
A
231031
I
By Trust
Common Stock
13300
I
By Trust
Common Stock
13299
I
By Trust
Common Stock
85509
D
/s/ Jon Wickwire
2011-09-08