0001209191-15-046883.txt : 20150526 0001209191-15-046883.hdr.sgml : 20150525 20150526181927 ACCESSION NUMBER: 0001209191-15-046883 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150521 FILED AS OF DATE: 20150526 DATE AS OF CHANGE: 20150526 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: Truetzel David W. CENTRAL INDEX KEY: 0001593649 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33624 FILM NUMBER: 15890576 MAIL ADDRESS: STREET 1: C/O AMEDICA CORPORATION STREET 2: 1885 WEST 2100 STREET CITY: SALT LAKE CITY STATE: UT ZIP: 84119 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-05-21 0 0001269026 AMEDICA Corp AMDA 0001593649 Truetzel David W. C/O AMEDICA CORPORATION, 1885 WEST 2100 SALT LAKE CITY UT 84119 1 0 0 0 Common Stock 2015-05-21 4 A 0 278506 A 375195 I Held by Truetzel Revocable Trust Warrant to Purchase Common Stcok 2015-05-21 4 D 0 80000 1.48 D 2014-11-26 2019-11-26 Common Stock 80000 1212 I Held by Truetzel Revocable Trust 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/ Amy N Wood, by Power of Attorney 2015-05-26