0001144204-11-057999.txt : 20111017 0001144204-11-057999.hdr.sgml : 20111017 20111017094144 ACCESSION NUMBER: 0001144204-11-057999 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111017 FILED AS OF DATE: 20111017 DATE AS OF CHANGE: 20111017 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: 111142991 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 v237353_4.xml OWNERSHIP DOCUMENT X0304 4 2011-10-17 0 0001091596 CYTOMEDIX INC CMXI 0001313516 JORDEN DAVID EMERSON 209 PERRY PARKWAY, SUITE 7 GAITHERSBURG MD 20877 1 0 1 0 Common Stock 2011-10-17 4 J 0 3793 A 6236293 D Received pursuant to a stock dividend as the Company's outstanding Series D Convertible Preferred Stock. /s/ David Emerson Jorden 2011-10-17