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