0001140361-16-048345.txt : 20160121
0001140361-16-048345.hdr.sgml : 20160121
20160121161825
ACCESSION NUMBER: 0001140361-16-048345
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160121
FILED AS OF DATE: 20160121
DATE AS OF CHANGE: 20160121
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ADVANCED MEDICAL ISOTOPE Corp
CENTRAL INDEX KEY: 0001449349
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 800138937
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1021 N KELLOGG STREET
CITY: KENNEWICK
STATE: WA
ZIP: 99336
BUSINESS PHONE: 509-736-4000
MAIL ADDRESS:
STREET 1: 1021 N KELLOGG STREET
CITY: KENNEWICK
STATE: WA
ZIP: 99336
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KATZAROFF JAMES C
CENTRAL INDEX KEY: 0001286868
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-53497
FILM NUMBER: 161353670
4
1
doc1.xml
FORM 4
X0306
4
2016-01-21
0
0001449349
ADVANCED MEDICAL ISOTOPE Corp
ADMD
0001286868
KATZAROFF JAMES C
C/O ADVANCED MEDICAL ISOTOPE CORP.
1021 N. KELLOGG STREET
KENNEWICK
WA
99336
1
1
0
0
CHIEF EXECUTIVE OFFICER
Series A Convertible Preferred Stock
.005
2016-01-21
4
A
0
10000
10000
A
2016-01-21
Common Stock
10000000
120500
D
The Series A Convertible Preferred Stock has no expiration date.
/s/ James C. Katzaroff
2016-01-21