0001415889-22-011092.txt : 20221104 0001415889-22-011092.hdr.sgml : 20221104 20221104174857 ACCESSION NUMBER: 0001415889-22-011092 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221102 FILED AS OF DATE: 20221104 DATE AS OF CHANGE: 20221104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Miles Patrick CENTRAL INDEX KEY: 0001289409 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52024 FILM NUMBER: 221363237 MAIL ADDRESS: STREET 1: 7475 LUSK BLVD. CITY: SAN DIEGO STATE: CA ZIP: 92121 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 form4-11042022_021147.xml X0306 4 2022-11-02 0001350653 Alphatec Holdings, Inc. ATEC 0001289409 Miles Patrick C/O ALPHATEC SPINE, INC. 1950 CAMINO VIDA ROBLE CARLSBAD CA 92008 true true false false CEO Common Stock 2022-11-02 4 A 0 359375 0 A 5661633 D Common Stock 10900 I By IRA Common Stock 250000 I By MOM, LLC On May 13, 2019, issuer granted the reporting person an incentive award (the "Award") equal to 312,500 times the publicly traded stock price for issuer's common stock at market close on May 13, 2023, which was due and payable to the reporting person in cash on May 14, 2023; provided that the publicly traded stock price for issuer's common stock at market close on May 13, 2023 is equal to or greater than $6.18 per share (representing a 50% increase in the price per share as of the initial grant date). On November 2, 2022, issuer approved an amendment to the Award which: (i) converts the Award from cash payment to payment in fully vested shares of issuer's common stock, subject to satisfaction of the original closing stock price condition; (ii) extends the payment date for the Award to June 30, 2023; and (iii) sets the number of shares of issuer's common stock subject to the Award at 359,375. /s/ Patrick Miles 2022-11-04