0001235802-19-000103.txt : 20190816
0001235802-19-000103.hdr.sgml : 20190816
20190816160946
ACCESSION NUMBER: 0001235802-19-000103
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190815
FILED AS OF DATE: 20190816
DATE AS OF CHANGE: 20190816
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: JENSEN GREG
CENTRAL INDEX KEY: 0001199647
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34951
FILM NUMBER: 191033567
MAIL ADDRESS:
STREET 1: 664 CRUISER LANE
CITY: BELGRADE
STATE: MT
ZIP: 59714
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Xtant Medical Holdings, Inc.
CENTRAL INDEX KEY: 0001453593
STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836]
IRS NUMBER: 205313323
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 664 CRUISER LANE
CITY: BELGRADE
STATE: MT
ZIP: 59714
BUSINESS PHONE: 406-388-0480
MAIL ADDRESS:
STREET 1: 664 CRUISER LANE
CITY: BELGRADE
STATE: MT
ZIP: 59714
FORMER COMPANY:
FORMER CONFORMED NAME: Bacterin International Holdings, Inc.
DATE OF NAME CHANGE: 20100615
FORMER COMPANY:
FORMER CONFORMED NAME: K KITZ INC
DATE OF NAME CHANGE: 20090108
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2019-08-15
0
0001453593
Xtant Medical Holdings, Inc.
XTNT
0001199647
JENSEN GREG
664 CRUISER LANE
BELGRADE
MT
59714
0
1
0
0
VP, Finance & CFO
Common Stock, $0.000001 par value
2019-08-15
4
A
0
33898
0
A
33898
D
Stock Option (right to buy)
2.76
2019-08-15
4
A
0
39063
0
A
2029-08-15
Common Stock
39063
39063
D
These shares will vest and be issued with respect to 8,474 shares on each of August 15, 2020 and August 15, 2021 and with respect to 8,475 shares on each of August 15, 2022 and August 15, 2023 pursuant to a restricted stock unit granted under the Xtant Medical Holdings, Inc. 2018 Equity Incentive Plan.
This option vests with respect to 9,765 shares on August 15, 2020 and with respect to 9,766 shares on each of August 15, 2021, August 15, 2022 and August 15, 2023, subject to such Reporting Person's continued employment with Xtant Medical Holdings, Inc.
/s/ Amy Culbert, attorney-in-fact
2019-08-16