0001144204-12-007263.txt : 20120210 0001144204-12-007263.hdr.sgml : 20120210 20120210160412 ACCESSION NUMBER: 0001144204-12-007263 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120208 FILED AS OF DATE: 20120210 DATE AS OF CHANGE: 20120210 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: 12592898 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 v302065_form4.xml OWNERSHIP DOCUMENT X0304 4 2012-02-08 0 0001091596 CYTOMEDIX INC CMXI 0001313516 JORDEN DAVID EMERSON 209 PERRY PARKWAY, SUITE 7 GAITHERSBURG, MD 20877 1 0 1 0 Common Stock 2012-02-08 4 C 0 143370 A 6381517 D Common Stock 2012-02-08 4 J 0 8000 A 6389517 D The reporting person converted his shares of the Series D Convertible Preferred Stock at a conversion price of $0.558 per share. Represents shares of stock dividend the Series D Convertible Preferred Stock. /s/ David E. Jorden 2012-02-10