0001179110-21-000832.txt : 20210126 0001179110-21-000832.hdr.sgml : 20210126 20210126141521 ACCESSION NUMBER: 0001179110-21-000832 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201231 FILED AS OF DATE: 20210126 DATE AS OF CHANGE: 20210126 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pelizzon David R CENTRAL INDEX KEY: 0001719217 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52024 FILM NUMBER: 21553088 MAIL ADDRESS: STREET 1: 2850 FRONTIER DR CITY: WARSAW STATE: IN ZIP: 46582 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 5 1 edgar.xml FORM 5 - X0306 5 2020-12-31 0 0 1 0001350653 Alphatec Holdings, Inc. ATEC 0001719217 Pelizzon David R C/O ALPHATEC SPINE, INC. 5818 EL CAMINO REAL CARLSBAD CA 92008 1 0 0 0 Common Stock 2020-10-16 4 P 0 L 857143 8.75 A 3294235 I By Squadron Capital LLC Common Stock 144139 D These shares are held by Squadron Capital LLC ("Squadron"). As the President and a member of the Managing Committee of Squadron, the reporting person may be deemed to be the beneficial owner of these shares. The reporting person expressly disclaims beneficial ownership of these shares, except to the extent of his pecuniary interest therein. The inclusion of these shares in this report shall not be deemed to be an admission of beneficial ownership for purposes of Section 16 or for any other purpose. /s/ David R. Pelizzon 2021-01-26