0001181431-12-062091.txt : 20121204 0001181431-12-062091.hdr.sgml : 20121204 20121204112610 ACCESSION NUMBER: 0001181431-12-062091 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121130 FILED AS OF DATE: 20121204 DATE AS OF CHANGE: 20121204 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CROSS LESLIE H CENTRAL INDEX KEY: 0001248189 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52024 FILM NUMBER: 121239562 MAIL ADDRESS: STREET 1: 2985 SCOTT STREET CITY: VISTA STATE: CA ZIP: 92083 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Alphatec Holdings, Inc. CENTRAL INDEX KEY: 0001350653 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 202463898 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5818 EL CAMINO REAL CITY: CARLSBAD STATE: CA ZIP: 92008 BUSINESS PHONE: 760-431-9286 MAIL ADDRESS: STREET 1: 5818 EL CAMINO REAL CITY: CARLSBAD STATE: CA ZIP: 92008 4 1 rrd362307.xml X0306 4 2012-11-30 0 0001350653 Alphatec Holdings, Inc. ATEC 0001248189 CROSS LESLIE H C/O ALPHATEC SPINE 5818 EL CAMINO REAL CARLSBAD CA 92008 1 1 0 0 Chairman and CEO Common Stock 2012-11-30 4 P 0 20000 1.595 A 394965 D Includes issuances of restricted common stock of 34,965 shares and 200,000 shares. All such shares vest on the anniversary of the date of issuance if certain stock performance measures are achieved. /s/ Ebun S. Garner, Esq., Attorney-in-fact 2012-12-04