0001144204-11-040970.txt : 20110718 0001144204-11-040970.hdr.sgml : 20110718 20110718173912 ACCESSION NUMBER: 0001144204-11-040970 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110715 FILED AS OF DATE: 20110718 DATE AS OF CHANGE: 20110718 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JORDEN DAVID EMERSON CENTRAL INDEX KEY: 0001313516 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32518 FILM NUMBER: 11973244 MAIL ADDRESS: STREET 1: 2635 TECHNOLOGY FOREST BLVD. CITY: THE WOODLANDS STATE: TX ZIP: 77381 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CYTOMEDIX INC CENTRAL INDEX KEY: 0001091596 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 232958959 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 209 PERRY PARKWAY, STREET 2: SUITE 7 CITY: GAITHERSBURG, STATE: MD ZIP: 20877 BUSINESS PHONE: 240-499-2680 MAIL ADDRESS: STREET 1: 209 PERRY PARKWAY, STREET 2: SUITE 7 CITY: GAITHERSBURG, STATE: MD ZIP: 20877 FORMER COMPANY: FORMER CONFORMED NAME: AUTOLOGOUS WOUND THERAPY INC DATE OF NAME CHANGE: 20000407 4 1 v228930_ex.xml X0303 4 2011-07-15 0 0001091596 CYTOMEDIX INC CMXI 0001313516 JORDEN DAVID EMERSON 209 PERRY PARKWAY, SUITE 7 GAITHERSBURG MD 20877 1 0 1 0 Common Stock 2011-07-15 4 J 0 5000 A 6232500 D Received pursuant to a stock dividend as the Company's outstanding Series D Convertible Preferred Stock. /s/ David Emerson Jorden 2011-07-18