SEC Form 4/A · accession 0001209191-15-020280
GLOBUS MEDICAL INC · GMED
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
David C Paul
Officer — Chief Executive Officer · Director · 10% Owner
Period of report
Jan 20, 2015
Accepted (ET)
Mar 2, 2015 · 4:40 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001237831
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common StockF1 | Mar 12, 2014 | C | 500,000 | — | A | 500,000 | D | |
| Class A Common Stock | Mar 12, 2014 | G | 500,000 | $0.00 | D | 0 | D | |
| Class A Common StockF2 | Apr 15, 2014 | C | 3,000,000 | — | A | 3,000,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy Class A Common Stock)F3 | $24.10 | Jan 20, 2015 | A | 125,000 | A | — | Jan 20, 2025 | Class A Common Stock | 125,000 | 125,000 | D |
| Class B Common StockF10,F1 | — | Mar 12, 2014 | C | 500,000 | D | — | — | Class A Common Stock | 500,000 | 24,444,283 | D |
| Class B Common StockF10,F2 | — | Apr 15, 2014 | C | 3,000,000 | D | — | — | Class A Common Stock | 3,000,000 | 21,444,283 | D |
| Stock Option (Right to Buy Class A Common Stock)F4 | $4.88 | holding | — | — | — | — | Aug 6, 2019 | Class A Common Stock | 18,461 | 18,461 | D |
| Stock Option (Right to Buy Class A Common Stock)F5 | $11.87 | holding | — | — | — | — | Jun 16, 2020 | Class A Common Stock | 18,461 | 18,461 | D |
| Stock Option (Right to Buy Class A Common Stock)F6 | $10.66 | holding | — | — | — | — | Oct 27, 2021 | Class A Common Stock | 18,461 | 18,461 | D |
| Stock Option (Right to Buy Class A Common Stock)F7 | $15.34 | holding | — | — | — | — | Aug 29, 2022 | Class A Common Stock | 15,000 | 15,000 | D |
| Stock Option (Right to Buy Class A Common Stock)F8 | $13.04 | holding | — | — | — | — | Jan 24, 2023 | Class A Common Stock | 48,000 | 48,000 | D |
| Stock Option (Right to Buy Class A Common Stock)F9 | $23.95 | holding | — | — | — | — | Jan 23, 2024 | Class A Common Stock | 60,000 | 60,000 | D |
| Class B Common StockF10,F11 | — | holding | — | — | — | — | — | Class A Common Stock | 1,562,573 | 1,562,573 | I |
| Class B Common StockF10,F12 | — | holding | — | — | — | — | — | Class A Common Stock | 435,350 | 435,350 | I |
| Class B Common StockF10,F13 | — | holding | — | — | — | — | — | Class A Common Stock | 435,350 | 435,350 | I |
Explanation of responses
- F1The Company's Class B Common Stock converted into the Company's Class A Common Stock on a one-for-one basis upon the reporting person's gift of the shares and has no expiration date.
- F10From the date of acquisition, the Company's Class B Common Stock converts into the Company's Class A Common Stock on a one-for-one basis (i) at the option of the holder, (ii) upon certain transfers, (iii) upon the closing of the Company's initial public offering if at that time the Company's Class B Common Stock that the holder beneficially owns is less than 10% of the aggregate number of all outstanding shares of the Company's common stock, and (iv) immediately if, at any time following the initial public offering of the Company's common stock, the Company's Class B Common Stock that the holder beneficially owns represents less than 5% of all outstanding shares of the Company's common stock.
- F11These shares are held in a trust for the benefit of the reporting person's spouse and children. The reporting person's spouse is trustee of the trust.
- F12These shares are held in a trust for the benefit of a child of the reporting person. The reporting person disclaims beneficial ownership of these securities, and the filing of this report is not an admission that the reporting person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.
- F13These shares are held in a trust for the benefit of a child of the reporting person. The reporting person is trustee of the trust.
- F2The Company's Class B Common Stock converted into the Company's Class A Common Stock on a one-for-one basis at the election of the reporting person and has no expiration date.
- F3These options were granted on January 20, 2015, and vest over a four-year period with one-fourth (1/4) of the options granted vesting on January 1, 2016, the first anniversary of the vesting commencement date, and the balance of the options granted vesting ratably on a monthly basis over the following 36 months.
- F4These options were granted on August 6, 2009, and vested over a four-year period with one-fourth (1/4) of the options granted vesting on January 1, 2010, the first anniversary of the vesting commencement date, and the balance of the options granted vesting ratably on a monthly basis over the following 36 months.
- F5These options were granted on June 16, 2010, and vested over a four-year period with one-fourth (1/4) of the options granted vesting on January 1, 2011, the first anniversary of the vesting commencement date, and the balance of the options granted vesting ratably on a monthly basis over the following 36 months.
- F6These options were granted on October 27, 2011, and vest over a four-year period with one-fourth (1/4) of the options granted vesting on January 1, 2012, the first anniversary of the vesting commencement date, and the balance of the options granted vesting ratably on a monthly basis over the following 36 months.
- F7These options were granted on August 29, 2012, and vest over a four-year period with one-fourth (1/4) of the options granted vesting on January 1, 2013, the first anniversary of the vesting commencement date, and the balance of the options granted vesting ratably on a monthly basis over the following 36 months.
- F8These options were granted on January 24, 2013, and vest over a four-year period with one-fourth (1/4) of the options granted vesting on January 1, 2014, the first anniversary of the vesting commencement date, and the balance of the options granted vesting ratably on a monthly basis over the following 36 months.
- F9These options were granted on January 23, 2014, and vest over a four-year period with one-fourth (1/4) of the options granted vesting on January 1, 2015, the first anniversary of the vesting commencement date, and the balance of the options granted vesting ratably on a monthly basis over the following 36 months.
Remarks
This Amendment is being filed to correct the description of the David C. Paul Trust in footnote 12. The original report erroneously stated that the reporting person's spouse is the trustee of the trust.