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3 Filing
Alphatec (ATEC) Form 3Alphatec / Dennis Nelson ownership change
Filed: 9 Nov 16, 12:00am
FORM 3 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person*
(Street)
| 2. Date of Event Requiring Statement (Month/Day/Year) 10/05/2016 | 3. Issuer Name and Ticker or Trading Symbol Alphatec Holdings, Inc. [ ATEC ] | |||||||||||||
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| 5. If Amendment, Date of Original Filed (Month/Day/Year) | ||||||||||||||
6. Individual or Joint/Group Filing (Check Applicable Line)
|
Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Sock | 556 | D | |
Restricted Common Stock(1) | 941 | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Non-qualified Stock Option | 12/19/2013(2) | 12/19/2022 | Common Stock | 2,500 | 24.6 | D | |
Incentive Stock Option | 01/04/2014(2) | 01/04/2023 | Common Sock | 6,250 | 20.64 | D | |
Incentive Stock Option | 08/08/2014(2) | 08/08/2023 | Common Stock | 2,500 | 24.48 | D | |
Incentive Stock Option | 07/30/2015(2) | 07/30/2024 | Common Stock | 3,750 | 17.04 | D |
Explanation of Responses: |
1. 833 of such shares of restricted common stock only vests upon a change of control of the company. 8 shares of such restricted common stock is fully vested. |
2. The options vest over four years with 25% vesting on the anniversary of the grant date and the remaining 75% vesting in equal installments every three months for the three years thereafter. |
Remarks: |
/s/ Ebun S. Garner, Esq., Attorney-in-fact | 11/09/2016 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |