SEC Form 4
FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
SeaSpine Holdings Corp [ SPNE ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 01/05/2023 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 01/05/2023 | D | 131,284 | D | (1) | 0 | D |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Restricted Stock Units | (2) | 01/05/2023 | D | 12,970 | (3) | (3) | Common Stock | 12,970 | (4) | 0 | D | ||||
Restricted Stock Units | $0.0(2) | 01/05/2023 | D | 33,977 | (5) | (5) | Common Stock | 33,977 | (6) | 0 | D | ||||
Employee Stock Option (Right to Buy) | $15.68 | 01/05/2023 | D | 60,000 | (7) | 08/01/2025 | Common Stock | 60,000 | (8) | 0 | D | ||||
Employee Stock Option (Right to Buy) | $14.19 | 01/05/2023 | D | 64,599 | (9) | 01/27/2024 | Common Stock | 64,599 | (10) | 0 | D | ||||
Employee Stock Option (Right to Buy) | $18.24 | 01/05/2023 | D | 35,636 | (11) | 01/01/2027 | Common Stock | 35,636 | (12) | 0 | D | ||||
Employee Stock Option (Right to Buy) | $12.01 | 01/05/2023 | D | 27,873 | (13) | 01/01/2028 | Common Stock | 27,873 | (14) | 0 | D | ||||
Employee Stock Option (Right to Buy) | $9.93 | 01/05/2023 | D | 6,089 | (15) | 04/23/2028 | Common Stock | 6,089 | (16) | 0 | D | ||||
Employee Stock Option (Right to Buy) | $16.86 | 01/05/2023 | D | 16,196 | (17) | 01/28/2029 | Common Stock | 16,196 | (18) | 0 | D | ||||
Employee Stock Option (Right to Buy) | $15 | 01/05/2023 | D | 21,236 | (19) | 02/28/2030 | Common Stock | 21,236 | (20) | 0 | D |
Explanation of Responses: |
1. Disposed of pursuant to the Agreement and Plan of Merger by and among the issuer, SeaSpine Holdings Corporation, which became effective on January 5, 2023, in exchange for 54,653 Orthofix MedicalInc. ("Orthofix") ordinary shares having a market value of $22.76 per share at the effective time of the merger. |
2. Each restricted stock unit represents a contingent right to receive one share of the issuer's common stock. |
3. The restricted stock units vest in three equal installments on each of January 28, 2022, 2023 and 2024. |
4. These restricted stock units were assumed by Orthofix in the merger and replaced by 5,399 Orthofix restricted stock units. |
5. The restricted stock units vest in three equal installments on each of February 28, 2023, 2024 and 2025. |
6. These restricted stock units were assumed by Orthofix in the merger and replaced by 14,144 Orthofix restricted stock units. |
7. The option vests as to 25% of the underlying shares on August 1, 2016 and the remaining 75% vests in twelve substantially equal quarterly installments thereafter. |
8. This option was assumed by Orthofix in the merger and replaced with an option to purchase 24,978 shares of Orthofix at a price of $37.67 per share. |
9. The option vests as to 12.5% of the underlying shares on August 1, 2016, 6.25% on September 30, 2016 and the remaining 81.25% vests in thirteen substantially equal quarterly installments thereafter. |
10. This option was assumed by Orthofix in the merger and replaced with an option to purchase 26,892 shares of Orthofix at a price of $34.09 per share. |
11. The option vests as to 25% of the underlying shares on January 1, 2020 and the remaining 75% in twelve substantially equal quarterly installments thereafter. |
12. This option was assumed by Orthofix in the merger and replaced with an option to purchase 14,835 shares of Orthofix at a price of $43.82 per share. |
13. The option vests as to 25% of the underlying shares on January 1, 2021 and the remaining 75% in twelve substantially equal quarterly installments thereafter. |
14. This option was assumed by Orthofix in the merger and replaced with an option to purchase 11,603 shares of Orthofix at a price of $28.85 per share. |
15. The option fully vested and became exercisable on June 21, 2020. |
16. This option was assumed by Orthofix in the merger and replaced with an option to purchase 2,534 shares of Orthofix at a price of $23.86 per share. |
17. The option vests as to 25% of the underlying shares on January 28, 2022 and the remaining 75% in twelve substantially equal quarterly installments thereafter. |
18. This option was assumed by Orthofix in the merger and replaced with an option to purchase 6,742 shares of Orthofix at a price of $40.50 per share. |
19. The option vests as to 25% of the underlying shares on February 28, 2023 and the remaining 75% in twelve substantially equal quarterly installments thereafter. |
20. This option was assumed by Orthofix in the merger and replaced with an option to purchase 8,840 shares of Orthofix at a price of $36.04 per share. |
Remarks: |
/s/Paul Benny, Attorney-in-Fact for Tyler Lipschultz | 01/09/2023 | |
** 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 4 (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. |