SEC Form 4 · accession 0001144204-16-111806
Xtant Medical Holdings, Inc. · XTNT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David Louis Kirschman
Director · 10% Owner
Period of report
Jul 2, 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
No Table I lines on this filing.
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 2, 2016 | D | 40,000 | D | — | — | Common Stock | 40,000 | 0 | D |
Explanation of responses
- F1The Restricted Stock Units were forfeited in connection with Dr. Kirschman's resigned from his position as Executive Vice President and Chief Scientific Officer of the Company, effective July 2, 2016.