Form D
View Original Filing
Notice of Exempt Offering of Securities
Item 1. Issuer's Identity
Name of Issuer:
BACTERIN INTERNATIONAL HOLDINGS, INC.
Jurisdiction of Incorporation/Organization
DE
Year of Incorporation/Organization
2006
Item 2 Issuer Principal Place of Business and Contact Information
600 CRUISER LANE
BELGRADE, MT 59714
Phone Number:
subscription required
Item 3. Related Persons
Name
KENT SWANSON
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
MICHAEL LOPACH
Address
subscription required
Relationship(s)
Clarification of Response
Item 3. Related Persons
Name
GUY COOK
Address
subscription required
Relationship(s)
- DIRECTOR
- EXECUTIVE OFFICER
Clarification of Response
Item 3. Related Persons
Name
JOHN GANDOLFO
Address
subscription required
Relationship(s)
Clarification of Response
Item 4. Industry Group
BIOTECHNOLOGY
Item 5. Issuer Size
Revenue Range (for issuer not specifying "hedge" or "other investment" fund in Item 4 above)
DECLINE TO DISCLOSE
Item 6. Federal Exemptions and Exclusions Claimed
Item 7. Type of Filing
New Notice
Date of First Sale in this Offering:
04/19/2011
Item 8. Duration of Offering
Does the issuer intend this offering to last more than one year?
No
Item 9. Type(s) of Securities Offered
- Equity
- Option, Warrant or Other Right to Acquire Another Security
- Security to be Acquired Upon Exercise of Option, Warrant or Other Right to Acquire Security
Item 10. Business Combination Transaction
Is this offering being made in connection with a business combination
transaction, such as a merger, acquisition or exchange offer?
No
Clarification of Response
Item 11. Minimum Investment
Minimum Investment accepted from any outside investor
0
Item 12. Sales Compensation
Recipient
MIDDLEBURY SECURITIES LLC
Recipient CRD Number
122602
(Associated) Broker or Dealer)
NONE
(Associated) Broker or Dealer CRD Number
NONE
Address
1043 SHEEP FARM ROAD
WEYBRIDGE, VT 05753
States of Solicitation
Item 13. Offering and Sales Amounts
Total Offering Amount
3500000
Total Amount Sold
1874502
Total Remaining to be Sold
1625498
Clarification of Response
Item 14. Investors
Securities in the offering have been or may be sold to persons
who do not qualify as accredited investors,
Yes
Number of non-accredited investors who already have invested in the offering:
1
Total number of investors who already have invested in the offering:
12
Item 15. Sales Commissions and Finders' Fees Expenses
Sales Commissions:
20000.0
Finders' Fees
0.0
Clarification of Response
Item 16. Use of Proceeds
Provide the amount of the gross proceeds of the offering
that has been or is proposed to be used for payments to any of the persons required
to be named as executive officers,directors or promoters in response to Item 3 above.
0.0
Clarification of Response
Signature and Submission
Issuer Name
BACTERIN INTERNATIONAL HOLDINGS, INC.
Issuer Signature
/S/ GUY COOK
Signer Name
GUY COOK
Signer Title
CEO
Signature Date
05/03/2011