X0306 4 2021-08-15 0 0001453593 Xtant Medical Holdings, Inc. XTNT 0001199647 JENSEN GREG 664 CRUISER LANE BELGRADE MT 59714 0 1 0 0 Vice President, Finance & CFO Common Stock, $0.000001 par value 2021-08-15 4 A 0 156250 0 A 285331 D Stock Option (right to buy) 1.27 2021-08-15 4 A 0 192308 0 A 2031-08-15 Common Stock 192308 192308 D These shares will vest and be issued with respect to 39,062 shares on each of August 15, 2022, August 15, 2023 and August 15, 2024 and with respect to 39,064 shares on August 15, 2025 pursuant to a restricted stock unit granted under the Xtant Medical Holdings, Inc. 2018 Equity Incentive Plan. Includes 244,587 shares that will be issued over time subject to vesting pursuant to restricted stock units granted under the Xtant Medical Holdings, Inc. 2018 Equity Incentive Plan. This option vests with respect to 48,077 shares on August 15, 2021 and with respect to the remaining 75% of such shares over the three-year period thereafter in 12 as nearly equal as possible quarterly installments, subject to such Reporting Person's continued employment with Xtant Medical Holdings, Inc. /s/ Amy Culbert, attorney-in-fact 2021-08-17