0001179110-19-001892.txt : 20190214
0001179110-19-001892.hdr.sgml : 20190214
20190214144629
ACCESSION NUMBER: 0001179110-19-001892
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181231
FILED AS OF DATE: 20190214
DATE AS OF CHANGE: 20190214
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TULLIS JAMES L L
CENTRAL INDEX KEY: 0001230641
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-52024
FILM NUMBER: 19604880
MAIL ADDRESS:
STREET 1: 100 FIRST STAMFORD PLACE
CITY: STAMFORD
STATE: CT
ZIP: 06907
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Alphatec Holdings, Inc.
CENTRAL INDEX KEY: 0001350653
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 202463898
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 5818 EL CAMINO REAL
CITY: CARLSBAD
STATE: CA
ZIP: 92008
BUSINESS PHONE: 760-431-9286
MAIL ADDRESS:
STREET 1: 5818 EL CAMINO REAL
CITY: CARLSBAD
STATE: CA
ZIP: 92008
5
1
edgar.xml
FORM 5 -
X0306
5
2018-12-31
0
0
1
0001350653
Alphatec Holdings, Inc.
ATEC
0001230641
TULLIS JAMES L L
C/O ALPHATEC SPINE, INC.
5818 EL CAMINO REAL
CARLSBAD
CA
92008
1
0
1
0
Common Stock
2018-09-24
4
J
0
L
3242
3.2575
A
79732
D
Common Stock
2018-09-24
4
J
0
L
167939
3.2575
A
1407924
I
By Tullis Dickerson Capital Focus III, LP
Common Stock
2018-09-24
4
J
0
L
76031
3.2575
A
976765
I
By Tullis Growth Fund, L.P.
On September 24, 2018, the reporting person received the reported shares at a value of $3.2575 per share upon satisfaction of a post-closing performance condition contained in the merger agreement pursuant to which Issuer acquired all of the outstanding capital stock of SafeOp Surgical, Inc.
/s/ James L.L. Tullis
2019-02-14