0001144204-15-040915.txt : 20150702 0001144204-15-040915.hdr.sgml : 20150702 20150702173605 ACCESSION NUMBER: 0001144204-15-040915 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150701 FILED AS OF DATE: 20150702 DATE AS OF CHANGE: 20150702 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 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: 15971211 MAIL ADDRESS: STREET 1: 600 CRUISER LANE CITY: BELGRADE STATE: MT ZIP: 59714 4 1 v414838_4.xml OWNERSHIP DOCUMENT X0306 4 2015-07-01 0 0001453593 Bacterin International Holdings, Inc. BONE 0001514546 WICKWIRE JON M. 664 CRUISER LANE BELGRADE MT 59714 1 0 0 0 Common Stock 2015-07-01 4 M 0 9828 0 A 20378 D Common Stock 23103 I By trust Common Stock 1330 I By trust Common Stock 1329 I By trust Restricted Stock Unit 2015-07-01 4 M 0 9828 0 D Common Stock 9828 0 D Restricted Stock Unit 2015-07-01 4 A 0 11764 0 A Common Stock 11764 11764 D Each restricted stock unit converted into one share of common stock effective 7-1-15 Each restricted stock unit represents the contingent right to receive one share of Bacterin common stock. The restricted stock units vest on July 1, 2016. /s/ Jon Wickwire 2015-07-01