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