0001245908-16-000003.txt : 20160708
0001245908-16-000003.hdr.sgml : 20160708
20160708153945
ACCESSION NUMBER: 0001245908-16-000003
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20160706
FILED AS OF DATE: 20160708
DATE AS OF CHANGE: 20160708
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: RTI SURGICAL, INC.
CENTRAL INDEX KEY: 0001100441
STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842]
IRS NUMBER: 593466543
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 11621 RESEARCH CIRCLE
CITY: ALACHUA
STATE: FL
ZIP: 32615
BUSINESS PHONE: 386-418-8888
MAIL ADDRESS:
STREET 1: 11621 RESEARCH CIRCLE
CITY: ALACHUA
STATE: FL
ZIP: 32615
FORMER COMPANY:
FORMER CONFORMED NAME: RTI Biologics, Inc.
DATE OF NAME CHANGE: 20080227
FORMER COMPANY:
FORMER CONFORMED NAME: REGENERATION TECHNOLOGIES INC
DATE OF NAME CHANGE: 19991206
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GEAREN PETER F
CENTRAL INDEX KEY: 0001245908
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-31271
FILM NUMBER: 161759256
MAIL ADDRESS:
STREET 1: C/O REGENERATION TECHNOLOGIES INC
STREET 2: 1162 RESEARCH CIRCLE
CITY: ALACHUA
STATE: FL
ZIP: 32615
4/A
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4/A
2016-07-06
2016-07-08
0
0001100441
RTI SURGICAL, INC.
RTIX
0001245908
GEAREN PETER F
C/O RTI SURGICAL, INC.
11621 RESEARCH CIRCLE
ALACHUA
FL
32615
1
0
0
0
Common Stock
2016-07-06
4
A
0
20270
0
A
106753
D
Represents shares of restricted stock of RTI Surgical, Inc.(the "Company")granted to Mr. Gearen as part of the director compensation program of the Company, all of which will vest on the first anniversary of the date of grant.
Exhibit List 24 - Power of Attorney
/s/ Emil Koller by Power of Attorney
2016-07-08
EX-24
2
poa_gearen.txt
POA
LIMITED POWER OF ATTORNEY FOR
SECTION 16 REPORTING OBLIGATIONS
The undersigned hereby makes, constitutes and appoints
each of Robert Jordheim and Emil Koller as the undersigned's
true and lawful attorney-in-fact, with full power and authority as
hereinafter described on behalf of and in the name, place and stead of the
undersigned to:
(1) prepare, execute, acknowledge, deliver and file Forms 3, 4 and 5 (including
any amendments thereto) with respect to the securities of RTI Surgical, Inc.,
a Delaware corporation (the "Company"), with the United States Securities and
Exchange Commission, any national securities exchanges and the Company, as
considered necessary or advisable under Section 16(a) of the Securities Exchange
Act of 1934 and the rules and regulations promulgated thereunder, as amended
from time to time (the "Exchange Act");
(2) seek or obtain, as the undersigned's representative and on the undersigned's
behalf, information on transactions in the Company's securities from any third
party, including brokers, employee benefit plan administrators and trustees,
and the undersigned hereby authorizes any such person to release any such
information to the undersigned and approves and ratifies any such release of
information; and
(3) perform any and all other acts which in the discretion of such
attorney-in-fact are necessary or desirable for and on behalf of the undersigned
in connection with the foregoing.
The undersigned acknowledges that:
(1) this Limited Power of Attorney authorizes, but does not require, such
attorney-in-fact to act in his or her discretion on information provided to such
attorney-in-fact without independent verification of such information;
(2) any documents prepared and/or executed by such attorney-in-fact on behalf of
the undersigned pursuant to this Limited Power of Attorney will be in such form
and will contain such information and disclosure as such attorney-in-fact,
in his or her discretion, deems necessary or desirable;
(3) neither the Company nor such attorney-in-fact assumes (i) any liability for
the undersigned's responsibility to comply with the requirement of the Exchange
Act, (ii) any liability of the undersigned for any failure to comply with such
requirements, or (iii) any obligation or liability of the undersigned for
profit disgorgement under Section 16(b) of the Exchange Act; and
(4) this Limited Power of Attorney does not relieve the undersigned from
responsibility for compliance with the undersigned's obligations under the
Exchange Act, including without limitation the reporting requirements under
Section 16 of the Exchange Act.
The undersigned hereby gives and grants the foregoing attorney-in-fact full
power and authority to do and perform all and every act and thing whatsoever
requisite, necessary or appropriate to be done in and about the foregoing
matters as fully to all intents and purposes as the undersigned might or could
do if present, hereby ratifying all that such attorney-in-fact of, for and on
behalf of the undersigned, shall lawfully do or cause to be done by virtue of
this Limited Power of Attorney.
This Limited Power of Attorney shall remain in full force and effect until
revoked by the undersigned in a signed writing delivered to such attorney-in-
fact or until the undersigned is no longer required to file Forms 3, 4, and 5
with regards to the undersigned's ownership of, or transaction in the Company's
securities.
IN WITNESS WHEREOF, the undersigned has caused this Power
of Attorney to be executed as of this 6th day of July, 2016.
/s/ Peter F. Gearen
Signature
Peter F. Gearen
Print Name