0001209191-19-055270.txt : 20191105 0001209191-19-055270.hdr.sgml : 20191105 20191105170408 ACCESSION NUMBER: 0001209191-19-055270 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191101 FILED AS OF DATE: 20191105 DATE AS OF CHANGE: 20191105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Serbousek Jon Carl CENTRAL INDEX KEY: 0001536875 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19961 FILM NUMBER: 191194171 MAIL ADDRESS: STREET 1: C/O BIOMET, INC. STREET 2: P.O. BOX 587 CITY: WARSAW STATE: IN ZIP: 46581-0587 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Orthofix Medical Inc. CENTRAL INDEX KEY: 0000884624 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 000000000 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3451 PLANO PARKWAY CITY: LEWISVILLE STATE: TX ZIP: 75056 BUSINESS PHONE: 214-937-2000 MAIL ADDRESS: STREET 1: 3451 PLANO PARKWAY CITY: LEWISVILLE STATE: TX ZIP: 75056 FORMER COMPANY: FORMER CONFORMED NAME: ORTHOFIX INTERNATIONAL N V DATE OF NAME CHANGE: 19970708 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-11-01 0 0000884624 Orthofix Medical Inc. OFIX 0001536875 Serbousek Jon Carl 3451 PLANO PARKWAY LEWISVILLE TX 75056 1 1 0 0 CEO Common Stock 2019-11-01 4 A 0 24085 0.00 A 38828 D Stock Option (right to buy) 41.52 2019-11-01 4 A 0 81449 0.00 A 2029-11-01 Common Stock 81449 81449 D Represents time-based vesting restricted stock units that vest in 25% increments on the first, second, third and fourth anniversaries of the grant date, November 1, 2019. These stock options vest in 25% increments on the first, second, third and fourth anniversaries of the grant date, November 1, 2019. /s/ Kimberley A. Elting, Chief Legal and Administrative Officer, by power of attorney 2019-11-05