0001209191-23-027893.txt : 20230508 0001209191-23-027893.hdr.sgml : 20230508 20230508141534 ACCESSION NUMBER: 0001209191-23-027893 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230507 FILED AS OF DATE: 20230508 DATE AS OF CHANGE: 20230508 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: 23897115 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 X0407 4 2023-05-07 0 0001760173 SURGALIGN HOLDINGS, INC. SRGA 0001544482 Rich Terry M. 520 LAKE COOK ROAD, SUITE 315 DEERFIELD IL 60015 1 1 0 0 President and CEO 0 Common Stock 2023-05-07 4 F 0 541 1.20 D 159095 D Common Stock 2023-05-07 4 F 0 145 1.20 D 158950 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 2023-05-08