0001209191-20-043577.txt : 20200724
0001209191-20-043577.hdr.sgml : 20200724
20200724143834
ACCESSION NUMBER: 0001209191-20-043577
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200722
FILED AS OF DATE: 20200724
DATE AS OF CHANGE: 20200724
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Rich Terry M.
CENTRAL INDEX KEY: 0001544482
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38832
FILM NUMBER: 201046707
MAIL ADDRESS:
STREET 1: 520 LAKE COOK ROAD
STREET 2: SUITE 315
CITY: DEERFIELD
STATE: IL
ZIP: 60015
FORMER NAME:
FORMER CONFORMED NAME: Rich Terry
DATE OF NAME CHANGE: 20120312
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
2020-07-22
0
0001760173
SURGALIGN HOLDINGS, INC.
RTIX
0001544482
Rich Terry M.
520 LAKE COOK ROAD, SUITE 315
DEERFIELD
IL
60015
0
1
0
0
President and CEO
Common Stock
2020-07-22
4
A
0
48093
0.00
A
292732
D
Option to purchase common stock
3.14
2020-07-22
4
A
0
72140
0.00
A
2030-07-21
Common Stock
72140
439098
D
The restricted shares will become vested as to 16,031 shares on 1/13/2021 and 4,008 shares on each of 4/13/2021, 7/13/2021, 10/13/2021, 1/13/2022 and 4/13/2022, 7/13/2022 and 4,007 shares on each of 10/13/2022 and 1/13/2023.
The options will become exercisable as to 24,047 shares on 1/13/2021 and 6,012 shares on each of 4/13/2021, 7/13/2021, 10/13/2021, 1/13/2022 and 4/13/2022 and 6,011 shares on each of 7/13/2022, 10/13/2022 and 1/13/2023.
By Jonathon Singer as attorney in fact
2020-07-24