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Ownership Document
|
| Schema Version: X0508 |
| Document Type: 4/A |
| Period of Report: 10/15/23 |
| Date of Original Submission: 10/17/23 |
| Not Subject to Section 16: 0 |
| Issuer: |
| Issuer CIK: 1453593 |
| Issuer Name: Xtant Medical Holdings, Inc. |
| Issuer Trading Symbol: XTNT |
| Reporting Owner: |
| Reporting Owner ID: |
| | Owner CIK: 1790461 |
| | Owner Name: Browne Sean E |
| Reporting Owner Address: |
| | Owner Street 1: 664 CRUISER LANE |
| | Owner Street 2: |
| | Owner City: BELGRADE |
| | Owner State: MT |
| | Owner ZIP Code: 59714 |
| | Owner State Description: |
| Reporting Owner Relationship: |
| | Is Director? Yes |
| | Is Officer? Yes |
| | Is Ten Percent Owner? No |
| | Is Other? No |
| | Officer Title: President and CEO |
| Aff 10b5 One: 0 |
| Non-Derivative Table: |
| Non-Derivative Transaction: |
| | Security Title: |
| | | Value: Common Stock |
| | Transaction Date: |
| | | Value: 10/15/23 |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: F |
| | | Equity Swap Involved? No |
| | | Footnote ID: F1 |
| | Transaction Timeliness: |
| | | Value: |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 105,442 |
| Footnote ID: F1 |
| | | Transaction Price Per Share: |
| Value: 1.08 |
| | | Transaction Acquired-Disposed Code: |
| Value: D |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 1,575,358 |
| Footnote ID: F2 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Footnotes: |
| Footnote - F1: The purpose of this Form 4 amendment is to correct the number of shares withheld by the Issuer to pay tax withholding obligations upon vesting and settlement of restricted stock unit awards. |
| Footnote - F2: Includes 174,216 shares to be issued upon vesting pursuant to a restricted stock unit award granted under the Xtant Medical Holdings, Inc. 2023 Equity Incentive Plan and 433,024 shares to be issued upon vesting pursuant to restricted stock awards granted under the Xtant Medical Holdings, Inc. 2018 Equity Incentive Plan, as amended from time to time, all conditioned upon the Reporting Person remaining an employee of Xtant through the vesting dates. |
| Owner Signature: |
| Signature Name: /s/ Amy E. Culbert, attorney-in-fact |
| Signature Date: 2/16/24 |
