SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Marshall Tyson Eliot

(Last) (First) (Middle)
C/O ALPHATEC SPINE, INC.
1950 CAMINO VIDA ROBLE

(Street)
CARLSBAD CA 92008

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
07/19/2023
3. Issuer Name and Ticker or Trading Symbol
Alphatec Holdings, Inc. [ ATEC ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
GENERAL COUNSEL & CORP. SEC.
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 244,142(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (right to buy) (2) 04/25/2027(2) Common Stock 15,000 $1.98 D
Employee Stock Option (right to buy) (2) 07/26/2027(2) Common Stock 15,000 $1.68 D
Employee Stock Option (right to buy) (2) 02/26/2028(2) Common Stock 12,500 $3.34 D
Employee Stock Option (right to buy) (2) 07/30/2028(2) Common Stock 60,000 $2.69 D
Explanation of Responses:
1. 70,150 of the shares are comprised of restricted stock units (RSUs) held by the reporting person. Each RSU represents a contingent right to receive one share of the issuer's common stock. 16,150 of the RSUs vest on February 22, 2024, 7,500 of the RSUs vest on February 24, 2024, 18,250 of the RSUs vest on each of March 5, 2024 and March 5, 2025, and 10,000 of the RSUs vest on March 5, 2026.
2. The option vests 25% on the first anniversary of the grant date and thereafter in 36 equal monthly installments. The option expires on the tenth anniversary of the grant date.
/s/ Tyson E. Marshall 07/21/2023
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.