0001235802-19-000008.txt : 20190116 0001235802-19-000008.hdr.sgml : 20190116 20190116161416 ACCESSION NUMBER: 0001235802-19-000008 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190115 FILED AS OF DATE: 20190116 DATE AS OF CHANGE: 20190116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Berlin Ronald G. CENTRAL INDEX KEY: 0001764230 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34951 FILM NUMBER: 19529225 MAIL ADDRESS: STREET 1: 664 CRUISER LANE CITY: BELGRADE STATE: MT ZIP: 59714 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Xtant Medical Holdings, Inc. CENTRAL INDEX KEY: 0001453593 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 205313323 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 664 CRUISER LANE CITY: BELGRADE STATE: MT ZIP: 59714 BUSINESS PHONE: 406-388-0480 MAIL ADDRESS: STREET 1: 664 CRUISER LANE CITY: BELGRADE STATE: MT ZIP: 59714 FORMER COMPANY: FORMER CONFORMED NAME: Bacterin International Holdings, Inc. DATE OF NAME CHANGE: 20100615 FORMER COMPANY: FORMER CONFORMED NAME: K KITZ INC DATE OF NAME CHANGE: 20090108 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2019-01-15 0 0001453593 Xtant Medical Holdings, Inc. XTNT 0001764230 Berlin Ronald G. 664 CRUISER LANE BELGRADE MT 59714 0 1 0 0 VP & Chief Operations Officer Common Stock, $0.000001 par value 0 D Stock Option (right to buy) 2.24 2019-01-15 4 A 0 100000 0 A 2029-01-15 Common stock 100000 100000 D This option vests with respect to 25,000 shares on each of January 15, 2020, January 15, 2021, January 15, 2022 and January 15, 2023, subject to such Reporting Person's continued employment with Xtant Medical Holdings, Inc. /s/ Amy Culbert, attorney-in-fact 2019-01-16