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10-12B Filing
SeaSpine (SPNE) 10-12BRegistration of securities
Filed: 1 Apr 15, 12:00am
As filed with the Securities and Exchange Commission on April 1, 2015
File No.
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Form 10
General Form for Registration of Securities
Pursuant to Section 12(b) or (g) of
The Securities Exchange Act of 1934
SeaSpine Holdings Corporation
(Exact name of registrant as specified in its charter)
Delaware | 47-3251758 | |
(State or other jurisdiction of incorporation or organization) | (I.R.S. Employer Identification Number) | |
2302 La Mirada Drive, Vista, California | 92081 | |
(Address of principal executive offices) | (Zip Code) |
(760) 727-8399
(Registrant’s telephone number, including area code)
Securities to be registered pursuant to Section 12(b) of the Act:
Title of each class | Name of each exchange on | |
Common Stock, par value $0.01 per share | The NASDAQ Stock Market LLC |
Securities to be registered pursuant to Section 12(g) of the Act: None
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer | ¨ | Accelerated filer | ¨ | |||
Non-accelerated filer | x | Smaller reporting company | ¨ |
INFORMATION INCLUDED IN INFORMATION STATEMENT
AND INCORPORATED BY REFERENCE IN FORM 10
CROSS-REFERENCE SHEET BETWEEN INFORMATION STATEMENT AND ITEMS OF FORM 10
This Registration Statement on Form 10 (“Form 10”) incorporates by reference information contained in the Information Statement filed as Exhibit 99.1 hereto (the “Information Statement”). The cross-reference table below identifies where the items required by Form 10 can be found in the Information Statement.
Item No. | Item Caption | Location in Information Statement | ||
1. | Business | “Information Statement Summary,” “Risk Factors,” “Business” and “Where You Can Find More Information” | ||
1A. | Risk Factors | “Risk Factors” and “Special Note Regarding Forward-Looking Statements” | ||
2. | Financial Information | “Information Statement Summary—Summary Historical Combined Financial Data,” “Selected Historical Combined Financial Data” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” | ||
3. | Properties | “Business—Facilities” | ||
4. | Security Ownership of Certain Beneficial Owners and Management | “Security Ownership of Certain Beneficial Owners and Management” | ||
5. | Directors and Executive Officers | “Management” | ||
6. | Executive Compensation | “Executive Compensation” | ||
7. | Certain Relationships and Related Transactions, and Director Independence | “Risk Factors,” “Management” and “Certain Relationships and Related Party Transactions” | ||
8. | Legal Proceedings | “Business—Legal Proceedings” | ||
9. | Market Price of and Dividends on the Registrant’s Common Equity and Related Stockholder Matters | “Information Statement Summary,” “Risk Factors,” “The Spin-Off,” “Dividend Policy” and “Description of SeaSpine Capital Stock” | ||
10. | Recent Sales of Unregistered Securities | “Recent Sales of Unregistered Securities” | ||
11. | Description of Registrant’s Securities to be Registered | “Description of SeaSpine Capital Stock” | ||
12. | Indemnification of Directors and Officers | “Indemnification and Limitation of Liability of Directors and Officers” and “Management—Indemnification of Officers and Directors” | ||
13. | Financial Statements and Supplementary Data | “Summary—Summary Historical Combined Financial Data,” “Selected Historical Combined Financial Data,” “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and “Index to Financial Statements” including the Financial Statements | ||
14. | Changes in and Disagreements with Accountants on Accounting and Financial Disclosure | Not Applicable |
ITEM 15. | Financial Statements and Exhibits |
(a) | Financial Statements |
See “Index to Financial Statements” beginning on page F-1 of the Information Statement.
(b) | Exhibits |
The following documents are filed as exhibits hereto:
Exhibit Index | Exhibit Description | |
2.1** | Form of Separation and Distribution Agreement between Integra LifeSciences Holdings Corporation and SeaSpine Holdings Corporation. | |
3.1** | Form of Amended and Restated Certificate of Incorporation of SeaSpine Holdings Corporation. | |
3.2** | Form of Amended and Restated Bylaws of SeaSpine Holdings Corporation. | |
4.1** | Form of Common Stock Certificate of SeaSpine Holdings Corporation. | |
10.1** | Form of Transition Services Agreement between Integra LifeSciences Holdings Corporation and SeaSpine Holdings Corporation. | |
10.2** | Form of Tax Matters Agreement between Integra LifeSciences Holdings Corporation and SeaSpine Holdings Corporation. | |
10.3** | Form of Employee Matters Agreement between Integra LifeSciences Holdings Corporation and SeaSpine Holdings Corporation. | |
10.4** | Form of Microfibrillar Collagen Supply Agreement between Integra LifeSciences Holdings Corporation and SeaSpine Holdings Corporation. | |
10.5** | Form of Collagen Ceramic Supply Agreement between Integra LifeSciences Holdings Corporation and SeaSpine Holdings Corporation. | |
10.6** | Form of Demineralized Bone Matrix and Collagen Ceramic Products Supply Agreement between Integra LifeSciences Holdings Corporation and SeaSpine Holdings Corporation. | |
10.7** | Form of SeaSpine Holdings Corporation 2015 Incentive Award Plan. | |
10.8** | Form of Indemnification Agreement entered into between SeaSpine Holdings Corporation and each of its directors and executive officers. | |
21.1** | List of subsidiaries of SeaSpine Holdings Corporation. | |
99.1** | Preliminary Information Statement of SeaSpine Holdings Corporation, subject to completion, dated April 1, 2015. |
** | To be filed by amendment. |
SIGNATURE
Pursuant to the requirements of Section 12 of the Securities Exchange Act of 1934, the registrant has duly caused this registration statement to be signed on its behalf by the undersigned, thereunto duly authorized.
SeaSpine Holdings Corporation | ||||
By: | /s/ John J. Bostjancic | |||
Name: | John J. Bostjancic | |||
Title: | Chief Financial Officer |
Dated: April 1, 2015