0001179110-17-013566.txt : 20171031
0001179110-17-013566.hdr.sgml : 20171031
20171031123108
ACCESSION NUMBER: 0001179110-17-013566
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171027
FILED AS OF DATE: 20171031
DATE AS OF CHANGE: 20171031
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Berkowitz Mortimer III
CENTRAL INDEX KEY: 0001364333
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-52024
FILM NUMBER: 171164809
MAIL ADDRESS:
STREET 1: HEALTHPOINT CAPITAL
STREET 2: 505 PARK AVENUE, 12TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10022
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
edgar.xml
FORM 4 -
X0306
4
2017-10-27
0
0001350653
Alphatec Holdings, Inc.
ATEC
0001364333
Berkowitz Mortimer III
C/O ALPHATEC SPINE, INC.
5818 EL CAMINO REAL
CARLSBAD
CA
92008
1
0
1
0
Common Stock
2017-10-27
4
M
0
200000
0.00
A
200933
D
Common Stock
2017-10-27
4
M
0
200000
0.00
A
200000
I
Held By Porcupine Investment Partners, LLC
Common Stock
898098
I
Held By HealthpointCapital Partners, L.P.
Common Stock
1750880
I
Held By HealthpointCapital Partners II, L.P.
Series A Convertible Preferred Stock
0.00
2017-10-27
4
M
0
400
0.00
D
Common Stock
200000
0
D
Series A Convertible Preferred Stock
0.00
2017-10-27
4
M
0
400
0.00
D
Common Stock
200000
0
I
Held By Porcupine Investment Partners, LLC
Includes shares owned by Reporting Person and shares owned by Reporting Person's spouse.
Reporting Person is a managing member of HGP, LLC, which is the general partner of HealthpointCapital Partners, L.P. In addition, Reporting Person is a managing member of HGP II, LLC, which is the general partner of HealthpointCapital Partners II, L.P. Reporting Person may be deemed to beneficially own the securities held by HealthpointCapital Partners, L.P. and HealthpointCapital Partners II, L.P. Accordingly, Reporting Person disclaims beneficial ownership of such shares except as to the extent of his pecuniary interest in such shares.
Each share of Series A Convertible Preferred Stock has no expiration date and is convertible into 500 shares of the Issuer's common stock following the date that shareholders approve such conversion, which approval was obtained on June 15, 2017.
/s/ Mortimer Berkowitz III
2017-10-31