0001209191-12-041317.txt : 20120810 0001209191-12-041317.hdr.sgml : 20120810 20120810170941 ACCESSION NUMBER: 0001209191-12-041317 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120808 FILED AS OF DATE: 20120810 DATE AS OF CHANGE: 20120810 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GLOBUS MEDICAL INC CENTRAL INDEX KEY: 0001237831 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 043744954 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2560 GENERAL ARMISTEAD AVENUE CITY: AUDUBON STATE: PA ZIP: 19403 BUSINESS PHONE: 610-930-1800 MAIL ADDRESS: STREET 1: 2560 GENERAL ARMISTEAD AVENUE CITY: AUDUBON STATE: PA ZIP: 19403 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RHOADS ANN D CENTRAL INDEX KEY: 0001250252 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35621 FILM NUMBER: 121025231 MAIL ADDRESS: STREET 1: 4000 NORTH FIRST STREET CITY: SAN JOSE STATE: CA ZIP: 95134 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2012-08-08 0 0001237831 GLOBUS MEDICAL INC GMED 0001250252 RHOADS ANN D VALLEY FORGE BUSINESS CENTER 2560 GENERAL ARMISTEAD AVENUE AUDUBON PA 19403 1 0 0 0 Stock Option (Right to Buy Class A Common Stock) 10.66 2012-08-08 5 J 0 E 15384 0.00 A 2021-07-28 Class A Common Stock 15384 15384 D Initially the stock option provided a right to buy the Company's Class C Common Stock. Upon the closing of the Company's initial public offering, all shares of the Company's Class C Common Stock automatically converted into shares of the Company's Class A Common Stock on a one-for-one basis. As a result, this stock option automatically converted into a right to buy the Company's Class A Common Stock. These options were granted on July 28, 2011, and vest over a three-year period with one-twelfth (1/12) of the options granted vesting on September 30, 2012, and the balance of the options granted vesting ratably on a quarterly basis over the following 11 quarters. /s/ David P. Creekman, Attorney-in-Fact 2012-08-10