SEC Form 4 · accession 0001144204-16-111804
Xtant Medical Holdings, Inc. · XTNT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David Goodman
Other
Period of report
Jul 1, 2016
Accepted (ET)
Jul 6, 2016 · 7:09 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001453593
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Jul 1, 2016 | M | 11,764 | $0.00 | A | 11,764 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitF1 | — | Jul 1, 2016 | M | 11,764 | D | — | — | Common Stock | 11,764 | 0 | D |
Explanation of responses
- F1Each restricted stock unit converted into one share of common stock effective July 1, 2016.