0001144204-15-059057.txt : 20151013 0001144204-15-059057.hdr.sgml : 20151012 20151013083613 ACCESSION NUMBER: 0001144204-15-059057 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151012 FILED AS OF DATE: 20151013 DATE AS OF CHANGE: 20151013 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: Kirschman David Louis CENTRAL INDEX KEY: 0001649066 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34951 FILM NUMBER: 151154675 MAIL ADDRESS: STREET 1: 5101 GARDEN SPRINGS COURT CITY: DAYTON STATE: OH ZIP: 45429 4 1 v422020_4.xml OWNERSHIP DOCUMENT X0306 4 2015-10-12 0 0001453593 Xtant Medical Holdings, Inc. BONE 0001649066 Kirschman David Louis 664 CRUISER LANE BELGRADE MT 59714 1 1 1 0 EVP & Chief Scientific Officer Restricted Stock Unit 2015-10-12 4 A 0 40000 0 A Common Stock 40000 40000 D Each restricted stock unit represents the contingent right to receive one share of Xtant Medical Holdings, Inc. common stock. The restricted stock units vest as follows: (i) 20%, or 8,000 underlying shares, will vest on the first anniversary of the date of the grant, and (ii) the remaining 80% will vest in 35 equal monthly installments of 914 underlying shares, beginning one month after the first anniversary of the date of the grant, with the remaining 10 shares vesting on the fourth anniversary of the date of grant. Dr. Kirschman must remain employed by Xtant Medical Holdings, Inc. or its subsidiaries for vesting to occur. /s/ David Kirschman 2015-10-12