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