0001144204-12-020189.txt : 20120404
0001144204-12-020189.hdr.sgml : 20120404
20120404174815
ACCESSION NUMBER: 0001144204-12-020189
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120327
FILED AS OF DATE: 20120404
DATE AS OF CHANGE: 20120404
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: NAVARRO NICHOLAS MAXWELL
CENTRAL INDEX KEY: 0001542532
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34951
FILM NUMBER: 12743072
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
v308613_4.xml
OWNERSHIP DOCUMENT
X0305
4
2012-03-27
0
0001453593
Bacterin International Holdings, Inc.
BONE
0001542532
NAVARRO NICHOLAS MAXWELL
600 CRUISER LANE
BELGRADE
MT
59714
0
1
0
0
National Sales Manager
Employee Stock Option
2.36
2012-03-27
4
A
0
60000
0
A
2022-03-27
Common Stock
60000
60000
D
The option vests in five equal annual installments beginning October 1, 2012
/s/ Nicholas Maxwell Navarro
2012-04-04