0001209191-15-042998.txt : 20150514 0001209191-15-042998.hdr.sgml : 20150514 20150514200059 ACCESSION NUMBER: 0001209191-15-042998 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150512 FILED AS OF DATE: 20150514 DATE AS OF CHANGE: 20150514 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMEDICA Corp CENTRAL INDEX KEY: 0001269026 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1885 WEST 2100 STREET CITY: SALT LAKE CITY STATE: UT ZIP: 84119 BUSINESS PHONE: 801-839-3516 MAIL ADDRESS: STREET 1: 1885 WEST 2100 STREET CITY: SALT LAKE CITY STATE: UT ZIP: 84119 FORMER COMPANY: FORMER CONFORMED NAME: AMEDICA CORP DATE OF NAME CHANGE: 20031104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LOMBARDI TY CENTRAL INDEX KEY: 0001630415 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33624 FILM NUMBER: 15864991 MAIL ADDRESS: STREET 1: C/O AMEDICA CORPORATION STREET 2: 1885 W 2100 SOUTH CITY: SALT LAKE CITY STATE: UT ZIP: 84119 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-05-12 0 0001269026 AMEDICA Corp AMDA 0001630415 LOMBARDI TY C/O AMEDICA CORPORATION 1885 W 2100 SOUTH SALT LAKE CITY UT 84119 0 1 0 0 VP Finance Common Stock 2015-05-12 4 A 0 14586 A 26971 D Warrant to Purchase Common Stock 2015-05-12 4 D 0 4385 1.48 D 2014-11-26 2019-11-26 Common Stock 4385 0 D The transactions reported above in Table I and Table II reflect the cashless exercise of a warrant. The terms of the warrant permit the Company, upon exercise of the warrant, to deliver a number of shares of Common Stock determined according to the following formula: Total Shares = (A x B) / C , where: Total Shares is the number of shares of Common Stock to be issued upon a Cashless Exercise, A is the total number of shares with respect to which the Warrant is then being exercised, B is the Black Scholes Value and C is the closing bid price of the Common Stock as of two trading days prior to the time of such exercise. As defined in the Warrants, "Black Scholes Value" means the Black Scholes value of an option for one share of Common Stock at the date of the applicable Black Scholes Payment or Cashless Exercise, as such Black Scholes value is determined, calculated using the Black Scholes Option Pricing Model obtained from the "OV" function on Bloomberg utilizing (i) an underlying price per share equal to the closing bid price of the Common Stock as of trading day immediately preceding the date of issuance of the warrant, (ii) a risk-free interest rate corresponding to the U.S. Treasury rate for a period equal to the remaining term of the Warrant as of the applicable Black Scholes Payment or Cashless Exercise, (iii) a strike price equal to the exercise price in effect at the time of the applicable Black Scholes Payment or Cashless Exercise, (iv) an expected volatility equal to 135% and (v) a remaining term of such option equal to five (5) years (regardless of the actual remaining term of the Warrant) /s/ Ty Lombardi 2015-05-14