0001493152-17-008545.txt : 20170804 0001493152-17-008545.hdr.sgml : 20170804 20170804164153 ACCESSION NUMBER: 0001493152-17-008545 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170728 FILED AS OF DATE: 20170804 DATE AS OF CHANGE: 20170804 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bal Bhajanjit CENTRAL INDEX KEY: 0001593834 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33624 FILM NUMBER: 171009144 MAIL ADDRESS: STREET 1: C/O AMEDICA CORPORATION STREET 2: 1885 WEST 1200 STREET CITY: SALT LAKE CITY STATE: UT ZIP: 84119 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 4 1 form4.xml X0306 4 2017-07-28 0 0001269026 AMEDICA Corp AMDA 0001593834 Bal Bhajanjit C/O AMEDICA CORPORATION 1885 W 2100 S SALT LAKE CITY, UT 84119 1 1 0 0 CEO Warrant 0.42 2017-07-28 4 A 0 660000 0.00 A 2017-07-28 2022-07-28 Common 660000 660000 I See Note Warrant held by North Stadium Investments, LLC, an entity owned and controlled by the reporting person. /s/ Kevin Ontiveros, Power of Attorney 2017-08-04