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