0001144204-17-038564.txt : 20170727
0001144204-17-038564.hdr.sgml : 20170727
20170727105858
ACCESSION NUMBER: 0001144204-17-038564
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170725
FILED AS OF DATE: 20170727
DATE AS OF CHANGE: 20170727
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TIMKO ERIC BERNARD
CENTRAL INDEX KEY: 0001678273
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34951
FILM NUMBER: 17985009
MAIL ADDRESS:
STREET 1: 1045 BROWN ROAD SOUTH
CITY: WAYZATA
STATE: MN
ZIP: 55391
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
4
1
v471653_4.xml
FORM 4
X0306
4
2017-07-25
0
0001453593
Xtant Medical Holdings, Inc.
XTNT
0001678273
TIMKO ERIC BERNARD
1045 BROWN ROAD SOUTH
WAYZATA
MN
55391
1
0
0
0
Common Stock
2017-07-25
4
A
0
51948
0
A
51948
D
The common stock vests on July 25, 2018.
/s/ Eric B. Timko
2017-07-27