SEC Form 4 · accession 0001179110-17-010369
Alphatec Holdings, Inc. · ATEC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeffrey G. Black
Officer — Executive VP & CFO
Period of report
Jul 14, 2017
Accepted (ET)
Jul 14, 2017 · 12:43 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001350653
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Jul 14, 2017 | M | 25,000 | $0.00 | A | 25,000 | I | by IRA |
| Common Stock | holding | — | — | — | 75,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series A Convertible Preferred StockF1 | $0.00 | Jul 14, 2017 | M | 50 | D | — | — | Common Stock | 25,000 | 0 | I |
Explanation of responses
- F1Each share of Series A Convertible Preferred Stock has no expiration date and is convertible into 500 shares of the Issuer's common stock following the date that shareholders approve such conversion, which approval was obtained on June 15, 2017.