SEC Form 4 · accession 0001179110-18-007275
Alphatec Holdings, Inc. · ATEC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeffrey G. Black
Officer — EVP & CFO
Period of report
May 17, 2018
Accepted (ET)
May 21, 2018 · 6:59 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 StockF2,F1 | May 17, 2018 | M | 15,874 | $0.00 | A | 49,874 | 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 B Convertible Preferred StockF1,F2 | — | May 17, 2018 | M | 50 | D | — | — | Common Stock | 15,874 | 0 | I |
Explanation of responses
- F1Each share of Series B Convertible Preferred Stock had no expiration date and converted into 317.4603 shares of the issuer's common stock on May 17, 2018, the date that issuer's stockholders approved such conversion.
- F2Due to a rounding error, Reporting Person's Form 4 filing dated March 12, 2018 incorrectly stated that the number of shares of common stock underlying the Series B Convertible Preferred Stock purchased by Reporting Person on March 8, 2018 was 15,873. The actual number of underlying shares was 15,874, which is reflected in this Form 4.