X0306 4 2018-08-15 0 0001453593 Xtant Medical Holdings, Inc. XTNT 0001329814 Peters Jeffrey J 664 CRUISER LANE BELGRADE MT 59714 1 0 0 0 Common Stock, $0.000001 par value 2018-08-15 4 A 0 26042 0 A 26042 D These shares were issued pursuant to a restricted stock award granted under the Xtant Medical Holdings, Inc. 2018 Equity Incentive Plan, such shares will vest with respect to 13,021 shares on each of February 15, 2019 and February 15, 2020 and are subject to forfeiture until vested. /s/ Amy Culbert, attorney-in-fact 2018-08-16