SEC Form 4 · accession 0001494694-17-000002
RTI SURGICAL, INC. · RTIX
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert P Jordheim
Officer — Executive Vice President/CFO
Period of report
May 3, 2017
Accepted (ET)
May 5, 2017 · 2:37 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001100441
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | May 3, 2017 | A | 30,435 | $0.00 | A | 145,003 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option to purchase common stock $.001 par valueF2 | $4.60 | May 3, 2017 | A | 61,674 | A | — | May 3, 2027 | Common Stock | 61,674 | 61,674 | D |
Explanation of responses
- F1The Restricted Stock award will become vested as to 10,145 shares on each of 5/3/2018, 5/3/2019 and 5/3/2020.
- F2This option will become exercisable as to 12,334 shares on 5/3/2018 and 12,335 shares on each of 5/3/2019, 5/3/2020, 5/3/2021 and 5/3/2022.