0001179110-18-007274.txt : 20180521
0001179110-18-007274.hdr.sgml : 20180521
20180521185825
ACCESSION NUMBER: 0001179110-18-007274
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20180517
FILED AS OF DATE: 20180521
DATE AS OF CHANGE: 20180521
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Rich Terry
CENTRAL INDEX KEY: 0001544482
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-52024
FILM NUMBER: 18851028
MAIL ADDRESS:
STREET 1: 7701 FRANCE AVENUE SOUTH
STREET 2: SUITE 600
CITY: EDINA
STATE: MN
ZIP: 55435
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
2018-05-17
0
0001350653
Alphatec Holdings, Inc.
ATEC
0001544482
Rich Terry
C/O ALPHATEC SPINE, INC.
5818 EL CAMINO REAL
CARLSBAD
CA
92008
1
1
0
0
President & COO
Common Stock
2018-05-17
4
M
0
100635
0
A
568837
D
Common Stock
2018-05-17
4
M
0
58096
0
A
58096
I
By IRA
Series B Convertible Preferred Stock
2018-05-17
4
M
0
317
0
D
Common Stock
100635
0
D
Series B Convertible Preferred Stock
2018-05-17
4
M
0
183
0
D
Common Stock
58096
0
I
By IRA
Each share of Series B Convertible Preferred Stock had no expiration date and converted into 317.4603 shares of the issuer's common stock on May 17, 2018, the date that issuer's stockholders approved such conversion.
Includes 6,363 and 3,881 shares acquired under the issuer's employee stock purchase plan on November 15, 2017 and May 15, 2018, respectively.
/s/ Tyson E. Marshall by power of attorney
2018-05-21
EX-24
2
ex24rich.txt
POWER OF ATTORNEY
Know all by these present, that the undersigned
hereby constitutes and appoints Craig E. Hunsaker and Tyson E.
Marshall of Alphatec Holdings, Inc., and Rick L. Guerisoli of
Durham Jones & Pinegar, signing singly, 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, submit, and file
for and on behalf of the undersigned, in the undersigned's
capacity as an officer and/or director and/or other insider of
Alphatec Holdings, Inc. or any successor entity (the "Company"),
an application for Form ID (or equivalent form) required to
generate the necessary access codes and passphrases (whether new
or replacement) to file on U.S. Securities & Commission's
Electronic Data Gathering, Analysis and Retrieval System
("EDGAR");
(2) prepare, execute, acknowledge, deliver, submit, and file
for and on behalf of the undersigned, in the undersigned's
capacity as an officer and/or director and/or other insider of
the Company, Forms 3, 4, and 5 or any other forms or reports to
be filed in accordance with Section 16(a) of the Securities
Exchange Act of 1934 and the rules promulgated thereunder (the
"Exchange Act"), and any amendments thereto;
(3) 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;
(4) take any other action of any type whatsoever in
connection with the foregoing which, in the opinion of such
attorney-in-fact, may be of benefit to, in the best interest of,
or legally required by, the undersigned, it being understood that
the documents executed by such attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such
form and shall contain such terms and conditions as such
attorney-in-fact may approve in such attorney-in-fact's
discretion.
The undersigned hereby grants to such attorney-in-fact full power
and authority to do and perform any and every act and thing
whatsoever requisite, necessary, or proper to be done in the
exercise of any of the rights and powers herein granted, as fully
to all intents and purposes as the undersigned might or could do
if personally present, with full power of substitution or
revocation, hereby ratifying and confirming all that such
attorney-in-fact, or such attorney-in-fact's substitute or
substitutes, shall lawfully do or cause to be done by virtue of
this Power of Attorney and the rights and powers herein granted.
The undersigned acknowledges that: (i) this Power of Attorney
authorizes the attorney-in-fact to act in his discretion in
submitting information on transactions and holdings on
information provided to the attorney-in-fact without independent
verification of such information; (ii) the attorney-in-fact, in
serving in such capacity at the request of the undersigned, is
not assuming nor relieving, nor is the Company assuming nor
relieving, any of the undersigned's responsibilities to comply
with Section 16 or any other provision of the Exchange Act; (iii)
neither the Company nor the foregoing attorney-in-fact assume any
liability for the undersigned's responsibility to comply with the
requirement of the Exchange Act or any obligation or liability of
the undersigned for profit disgorgement under Section 16(b) of
the Exchange Act.
This Power of Attorney shall remain in full force and effect
until the undersigned is no longer required to file Forms 3, 4
and 5 with respect to the undersigned's holdings of and
transactions in securities issued by the Company, unless earlier
revoked by the undersigned in a signed writing delivered to the
foregoing attorneys-in-fact. The undersigned hereby revokes any
and all powers of attorney previously executed with respect to
the matters covered herein.
IN WITNESS WHEREOF, the undersigned has caused this Power of
Attorney to be executed as of this 3rd day of May, 2018.
/s/ Terry M. Rich