X0306 4 2021-05-07 0 0001760173 SURGALIGN HOLDINGS, INC. SRGA 0001445552 DeRienzis Joshua H 520 LAKE COOK ROAD SUITE 315 DEERFIELD IL 60015 0 1 0 0 Chief Legal Officer Common Stock 2021-05-07 4 A 0 104697 0.00 A 249404 D Common Stock 2021-05-07 4 A 0 31611 0.00 A 281015 D Common Stock 2021-05-07 4 A 0 16574 0.00 A 297589 D The Restricted Stock Units will vest over three years with 1/3 of the shares vesting after year one and remaining 2/3 of the shares vesting prorated quarterly. Represents a portion of the 2020 short-term incentive plan; vests on May 7, 2022. Represents recoupment of lost wages during 2020; with 1/2 of the shares vesting after year one and remaining 1/2 of the shares after year two. /s/ Joshua H. DeRienzis 2021-05-10