0001144204-17-038574.txt : 20170727
0001144204-17-038574.hdr.sgml : 20170727
20170727110609
ACCESSION NUMBER: 0001144204-17-038574
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: Mazzocchi Rudy A
CENTRAL INDEX KEY: 0001562796
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34951
FILM NUMBER: 17985035
MAIL ADDRESS:
STREET 1: 10000 WEHRLE DRIVE
CITY: CLARENCE
STATE: NY
ZIP: 14031
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
v471657_4.xml
FORM 4
X0306
4
2017-07-25
0
0001453593
Xtant Medical Holdings, Inc.
XTNT
0001562796
Mazzocchi Rudy A
12168 NW 9TH DRIVE
CORAL SPRINGS
FL
33071
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/ Rudy A. Mazzocchi
2017-07-27