0001209191-21-060156.txt : 20211012
0001209191-21-060156.hdr.sgml : 20211012
20211012094349
ACCESSION NUMBER: 0001209191-21-060156
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211010
FILED AS OF DATE: 20211012
DATE AS OF CHANGE: 20211012
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Singer Jonathon M
CENTRAL INDEX KEY: 0001375536
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38832
FILM NUMBER: 211317329
MAIL ADDRESS:
STREET 1: 520 LAKE COOK ROAD, SUITE 315
CITY: DEERFIELD
STATE: IL
ZIP: 60015
FORMER NAME:
FORMER CONFORMED NAME: Jonathon M Singer
DATE OF NAME CHANGE: 20060914
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: SURGALIGN HOLDINGS, INC.
CENTRAL INDEX KEY: 0001760173
STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842]
IRS NUMBER: 832540607
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 520 LAKE COOK ROAD, SUITE 315
CITY: DEERFIELD
STATE: IL
ZIP: 60015
BUSINESS PHONE: 3864188888
MAIL ADDRESS:
STREET 1: 520 LAKE COOK ROAD, SUITE 315
CITY: DEERFIELD
STATE: IL
ZIP: 60015
FORMER COMPANY:
FORMER CONFORMED NAME: RTI Surgical Holdings, Inc.
DATE OF NAME CHANGE: 20190308
FORMER COMPANY:
FORMER CONFORMED NAME: Bears Holding Sub, Inc.
DATE OF NAME CHANGE: 20181127
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-10-10
0
0001760173
SURGALIGN HOLDINGS, INC.
SRGA
0001375536
Singer Jonathon M
520 LAKE COOK ROAD
SUITE 315
DEERFIELD
IL
60015
0
1
0
0
CFO/COO
Common Stock
2021-10-10
4
F
0
1876
1.04
D
927645
D
Common Stock
2021-10-10
4
F
0
7920
1.04
D
919725
D
Shares withheld by Surgalign Holdings, Inc. to satisfy the withholding obligation in connection with the vesting of previously awarded restricted stock.
By Jessica Rumschlag as attorney in fact
2021-10-12