0001144204-15-054142.txt : 20150909 0001144204-15-054142.hdr.sgml : 20150909 20150909084736 ACCESSION NUMBER: 0001144204-15-054142 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150904 FILED AS OF DATE: 20150909 DATE AS OF CHANGE: 20150909 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Xtant Medical 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: 664 CRUISER LANE CITY: BELGRADE STATE: MT ZIP: 59714 BUSINESS PHONE: 406-388-0480 MAIL ADDRESS: STREET 1: 664 CRUISER LANE CITY: BELGRADE STATE: MT ZIP: 59714 FORMER COMPANY: FORMER CONFORMED NAME: Bacterin International Holdings, Inc. DATE OF NAME CHANGE: 20100615 FORMER COMPANY: FORMER CONFORMED NAME: K KITZ INC DATE OF NAME CHANGE: 20090108 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LOPACH MICHAEL A CENTRAL INDEX KEY: 0001508142 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34951 FILM NUMBER: 151098019 MAIL ADDRESS: STREET 1: 863 GREAT NORTHERN BLVD STREET 2: SUITE 202 CITY: HELENA STATE: MT ZIP: 59601 4 1 v419972_form4.xml OWNERSHIP DOCUMENT X0306 4 2015-09-04 0 0001453593 Xtant Medical Holdings, Inc. BONE 0001508142 LOPACH MICHAEL A 664 CRUISER LANE BELGRADE MT 59714 1 0 0 0 Common Stock 2015-09-04 4 P 0 10869 3.68 A 14258 I By 401(k) Plan Common Stock 11522 D /s/ Michael Lopach 2015-09-08