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