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