Johannes Wynand Louw Form 3 RTI SURGICAL / Johannes Wynand Louw ownership change

SEC Form 3

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^*

Louw Johannes Wynand

(Last) (First) (Middle)

11621 RESEARCH CIRCLE

(Street)

ALACHUA FL 32615

(City) (State) (Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
12/13/2016

3. Issuer Name and Ticker or Trading Symbol
RTI SURGICAL, INC. [ RTIX ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

	Director	10% Owner
X	Officer (give title below)	Other (specify below)
Interim CFO

5. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
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 Stock	3,221(1)	D

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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
Option to purchase Common Stock, $.001 par value per share	03/02/2012	03/02/2017	Common Stock, par value $.001	4,000	7.25	D
Option to purchase Common Stock, $.001 par value per share	01/28/2013	01/28/2018	Common Stock, par value $.001	5,000	7.45	D
Option to purchase Common Stock, $.001 par value per share	07/21/2013	07/21/2018	Common Stock, par value $.001	5,000	8.11	D
Option to purchase Common Stock, $.001 par value per share	02/29/2016	02/28/2021	Common Stock, par value $.001	2,000	2.69	D
Option to purchase Common Stock, $.001 par value per share	(2)	02/09/2022	Common Stock, par value $.001	6,000	4.02	D
Option to purchase Common Stock, $.001 par value per share	(3)	02/25/2023	Common Stock, par value $.001	15,000	3.6	D
Option to purchase Common Stock, $.001 par value per share	(4)	02/25/2024	Common Stock, par value $.001	20,000	3.78	D
Option to purchase Common Stock, $.001 par value per share	(5)	02/17/2025	Common Stock, par value $.001	20,000	5.23	D
Option to purchase Common Stock, $.001 par value	(6)	02/24/2026	Common Stock, par value $.001	19,355	3.31	D

Explanation of Responses:

1. This contains 3,021 Restricted Stock Awards that will vest as to 1,007 shares on each of 2/24/2017, 2/24/2018 and 2/24/2019.

2. Consist of 3,000 fully vested and exercisable options and 3,000 unvested options that will vest and become exercisable on 2/9/2017.

3. Consist of 9,000 fully vested and exercisable options and 6,000 unvested options that will vest and become exercisable as to 3,000 shares on each of 2/25/2017 and 2/25/2018.

4. Consist of 8,000 fully vested and exercisable options and 12,000 unvested options that will vest and become exercisable as to 4,000 shares on each of 2/25/2017, 2/25/2018 and 2/25/2019.

5. Consist of 4,000 fully vested and exercisable options and 16,000 unvested options that will vest and become exercisable as to 4,000 shares on each of 2/17/2017, 2/17/2018, 2/17/2019 and 2/17/2020.

6. This option will become exercisable as to 3,871 shares on each of 2/24/2017, 2/24/2018, 2/24/2019, 2/24/2020 and 2/24/2021.

	/s/Johannes W. Louw	12/20/2016
	** 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).
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