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Link Max – ‘3’ for 2/12/14 re: Amedica Corp.

On:  Wednesday, 2/12/14, at 9:04pm ET   ·   For:  2/12/14   ·   As:  Director   ·   Accession #:  1209191-14-9984   ·   File #:  1-33624

Previous ‘3’:  ‘3’ on 12/5/97 for 11/25/97   ·   Next & Latest:  ‘3’ on 8/5/14 for 8/4/14

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  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 2/12/14  Link Max                          3          Director    2:16K  Amedica Corp.                     DONNELLEY FIN… File16/FA

Initial Statement of Beneficial Ownership of Securities by an Insider   —   Form 3   —   SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 3           Form 3 Submission -- doc3.xml/2.6                   HTML     13K 
 2: EX-24       EX-24 Document                                      HTML      7K

‘3’   —   Form 3 Submission — doc3.xml/2.6



        

This ‘3’ Document is an XML Data File that may be rendered in various formats:

  Form 3    –   Plain Text   –  SEC Website  –  EDGAR System  –    XML Data    –  <?xml?> File
 
 
Plain Text rendering:  Form 3 Submission
 
                                                                                                                                                                                
Ownership Document
 
Schema Version:  X0206
Document Type:  3
Period of Report:  2/12/14
No Securities Owned:  0
Issuer:
Issuer CIK:  1269026
Issuer Name:  AMEDICA Corp
Issuer Trading Symbol:  AMDA
Reporting Owner:
Reporting Owner ID:
Owner CIK:  1050944
Owner Name:  LINK MAX
Reporting Owner Address:
Owner Street 1:  C/O AMEDICA CORPORATION
Owner Street 2:  1885 WEST 2100 SOUTH
Owner City:  SALT LAKE CITY
Owner State:  UT
Owner ZIP Code:  84119
Owner State Description:
Reporting Owner Relationship:
Is Director?  Yes
Is Officer?  No
Is Ten Percent Owner?  No
Is Other?  No
Non-Derivative Table:
Non-Derivative Holding:
Security Title:
Value:  Common Stock
Post-Transaction Amounts:
Shares Owned Following Transaction:
Value:  12,802
Footnote ID:  F1
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Derivative Table:
Derivative Holding:
Security Title:
Value:  Warrant to Purchase Shares of Common Stock
Conversion or Exercise Price:
Footnote ID:  F2
Exercise Date:
Footnote ID:  F2
Expiration Date:
Footnote ID:  F2
Underlying Security:
Underlying Security Title:
Value:  Common Stock
Underlying Security Shares:
Value:  2,424
Footnote ID:  F2
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Derivative Holding:
Security Title:
Value:  Series A-1 Preferred Stock
Conversion or Exercise Price:
Footnote ID:  F3
Exercise Date:
Footnote ID:  F3
Expiration Date:
Footnote ID:  F3
Underlying Security:
Underlying Security Title:
Value:  Common Stock
Underlying Security Shares:
Value:  19,398
Footnote ID:  F3
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Derivative Holding:
Security Title:
Value:  Series C Preferred Stock
Conversion or Exercise Price:
Footnote ID:  F4
Exercise Date:
Footnote ID:  F4
Expiration Date:
Footnote ID:  F4
Underlying Security:
Underlying Security Title:
Value:  Common Stock
Underlying Security Shares:
Value:  4,347
Footnote ID:  F4
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Derivative Holding:
Security Title:
Value:  Series D Preferred Stock
Conversion or Exercise Price:
Footnote ID:  F5
Exercise Date:
Footnote ID:  F5
Expiration Date:
Footnote ID:  F5
Underlying Security:
Underlying Security Title:
Value:  Common Stock
Underlying Security Shares:
Value:  1,767
Footnote ID:  F5
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Derivative Holding:
Security Title:
Value:  Series E Preferred Stock
Conversion or Exercise Price:
Footnote ID:  F6
Exercise Date:
Footnote ID:  F6
Expiration Date:
Footnote ID:  F6
Underlying Security:
Underlying Security Title:
Value:  Common Stock
Underlying Security Shares:
Value:  1,102
Footnote ID:  F6
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Derivative Holding:
Security Title:
Value:  Series F Preferred Stock
Conversion or Exercise Price:
Footnote ID:  F7
Exercise Date:
Footnote ID:  F7
Expiration Date:
Footnote ID:  F7
Underlying Security:
Underlying Security Title:
Value:  Common Stock
Underlying Security Shares:
Value:  31,250
Footnote ID:  F7
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Derivative Holding:
Security Title:
Value:  Stock Options (right to buy)
Conversion or Exercise Price:
Footnote ID:  F8
Footnote ID:  F9
Exercise Date:
Footnote ID:  F8
Footnote ID:  F9
Expiration Date:
Footnote ID:  F8
Footnote ID:  F9
Underlying Security:
Underlying Security Title:
Value:  Common Stock
Underlying Security Shares:
Value:  3,782
Footnote ID:  F8
Footnote ID:  F9
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Footnotes:
Footnote - F1:  Includes 581 restricted stock units, each of which represents a contingent right to receive one share of the Issuer's Common Stock. The restricted stock units vest on the earlier of a change in control or the date of the expiration of the lock up period imposed on the Reporting Person after the completion of the closing of the underwritten initial public offering of shares of the Issuer's Common Stock.
Footnote - F2:  Includes a warrant to purchase 484 shares of the Issuer's Common Stock with an exercise price of $17.53 per share of Common Stock exercisable at any time and expiring March 4, 2018; and a warrant to purchase 1,940 shares of the Issuer's Common Stock with an exercise price of $25.77 per share of Common Stock exercisable at any time and expiring on August 30, 2018.
Footnote - F3:  Upon the closing of the Issuer's initial public offering of shares of its Common Stock, each share of Series A-1 Convertible Preferred Stock will convert into 1.5000 shares of the Issuer's Common Stock pursuant to the terms of the Certificate of Designation for Series A-1 Convertible Preferred Stock of the Issuer. This conversion is reflected in column 3 in the amount of securities underlying the derivative securities.
Footnote - F4:  Upon the closing of the Issuer's initial public offering of shares of its Common Stock, each share of Series C Convertible Preferred Stock will convert into 1.1206 shares of the Issuer's Common Stock pursuant to the terms of the Certificate of Designation for Series C Convertible Preferred Stock of the Issuer. This conversion is reflected in column 3 in the amount of securities underlying the derivative securities.
Footnote - F5:  Upon the closing of the Issuer's initial public offering of shares of its Common Stock, each share of Series D Convertible Preferred Stock will convert into 1.3014 shares of the Issuer's Common Stock pursuant to the terms of the Certificate of Designation for Series D Convertible Preferred Stock of the Issuer. This conversion is reflected in column 3 in the amount of securities underlying the derivative securities.
Footnote - F6:  Upon the closing of the Issuer's initial public offering of shares of its Common Stock, each share of Series E Convertible Preferred Stock will convert into 1.1363 shares of the Issuer's Common Stock pursuant to the terms of the Certificate of Designation for Series E Convertible Preferred Stock of the Issuer. This conversion is reflected in column 3 in the amount of securities underlying the derivative securities.
Footnote - F7:  Upon the closing of the Issuer's initial public offering of shares of its Common Stock, each share of Series F Convertible Preferred Stock will convert into 6.4437 shares of the Issuer's Common Stock pursuant to the terms of the Certificate of Designation for Series F Convertible Preferred Stock of the Issuer. This conversion is reflected in column 3 in the amount of securities underlying the derivative securities.
Footnote - F8:  Includes options to purchase 218 shares of Common Stock at an exercise price of $15.46 per share, exercisable at any time and expiring December 15, 2014; options to purchase 363 shares of at an exercise price of $25.77 per share, exercisable at any time and expiring December 12, 2015; options to purchase 582 shares of Common Stock at an exercise price of $25.77 per share, exercisable at any time and expiring December 11, 2016; options to purchase 582 shares of Common Stock at an exercise price of $25.77 per share, exercisable at any time and expiring December 9, 2020; options to purchase 582 shares of Common Stock at an exercise price of $25.77 per share, exercisable at any time and expiring December 8, 2021; (Continued in Footnote 9)
Footnote - F9:  options to purchase 582 shares of Common Stock at an exercise price of $25.77 per share, exercisable at any time and expiring March 15, 2022; options to purchase 291 shares of Common Stock at an exercise price of $25.77 per share, exercisable at any time and expiring March 15, 2022; options to purchase 582 shares of Common Stock at an exercise price of $25.77 per share, exercisable at any time and expiring March 15, 2022.
Remarks:
Owner Signature:
Signature Name:  /s/ Jonathan Ursprung
Signature Date:  2/12/14


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