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