0001209191-18-005088.txt : 20180124
0001209191-18-005088.hdr.sgml : 20180124
20180124161151
ACCESSION NUMBER: 0001209191-18-005088
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20180122
FILED AS OF DATE: 20180124
DATE AS OF CHANGE: 20180124
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Paul David C
CENTRAL INDEX KEY: 0001555391
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35621
FILM NUMBER: 18545307
MAIL ADDRESS:
STREET 1: C/O GLOBUS MEDICAL, INC.
STREET 2: 2560 GENERAL ARMISTEAD AVENUE
CITY: AUDUBON
STATE: PA
ZIP: 19403
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: GLOBUS MEDICAL INC
CENTRAL INDEX KEY: 0001237831
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 043744954
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2560 GENERAL ARMISTEAD AVENUE
CITY: AUDUBON
STATE: PA
ZIP: 19403
BUSINESS PHONE: 610-930-1800
MAIL ADDRESS:
STREET 1: 2560 GENERAL ARMISTEAD AVENUE
CITY: AUDUBON
STATE: PA
ZIP: 19403
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2018-01-22
0
0001237831
GLOBUS MEDICAL INC
GMED
0001555391
Paul David C
VALLEY FORGE BUSINESS CENTER
2560 GENERAL ARMISTEAD AVENUE
AUDUBON
PA
19403
1
1
1
0
Executive Chairman
Stock Option (Right to Buy Class A Common Stock)
43.77
2018-01-22
4
A
0
100000
0.00
A
2028-01-22
Class A Common Stock
100000
100000
D
Class B Common Stock
Class A Common Stock
21717689
21717689
D
Class B Common Stock
Class A Common Stock
1562573
1562573
I
By Paul Family Irrevocable Trust U/A 4/6/10
Class B Common Stock
Class A Common Stock
298647
298647
I
By David C. Paul Trust
Class B Common Stock
Class A Common Stock
298647
298647
I
By Sonali Paul Trust
These options were granted on January 22, 2018, and vest over a four-year period with one-fourth (1/4) of the options granted vesting on January 1, 2019, the first anniversary of the vesting commencement date, and the balance of the options granted vesting ratably on a monthly basis over the following 36 months.
From the date of acquisition, the Company's Class B Common Stock converts into the Company's Class A Common Stock on a one-for-one basis (i) at the option of the holder, (ii) upon certain transfers, (iii) upon the closing of the Company's initial public offering if at that time the Company's Class B Common Stock that the holder beneficially owns is less than 10% of the aggregate number of all outstanding shares of the Company's common stock, and (iv) immediately if, at any time following the initial public offering of the Company's common stock, the Company's Class B Common Stock that the holder beneficially owns represents less than 5% of all outstanding shares of the Company's common stock.
Includes 136,703 shares previously held through the David C. Paul Trust and 136,703 shares previously held through the Sonali Paul Trust which were transferred to the reporting person on June 16, 2017 and are now owned directly.
These shares are held in a trust for the benefit of the reporting person's spouse and children. The reporting person's spouse is trustee of the trust.
These shares are held in a trust for the benefit of a child of the reporting person. The reporting person disclaims beneficial ownership of these securities, and the filing of this report is not an admission that the reporting person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.
These shares are held in a trust for the benefit of a child of the reporting person. The reporting person is trustee of the trust.
/s/ Eric I. Schwartz, Attorney-in-Fact
2018-01-24
EX-24.4_763992
2
poa.txt
POA DOCUMENT
Know all by these presents that the undersigned hereby constitutes and appoints
each of Anthony L. Williams and Eric I. Schwartz, and each of them acting alone,
signing singly, the undersigned's true and lawful attorney-in-fact to: (1)
execute for and on behalf of the undersigned, in the undersigned's capacity as
an officer, director and/or 10% or more stockholder of Globus Medical, Inc. (the
"Company"), Forms ID, 3, 4, 5 and Update Passphrase Acknowledgement (and any
amendments thereto) in accordance with Section 16(a) of the Securities Exchange
Act of 1934, as amended (the "1934 Act"), and the rules promulgated thereunder;
(2) do and perform any and all acts for and on behalf of the undersigned which
may be necessary or desirable to complete and execute any such Form ID, 3, 4, 5
and Update Passphrase Acknowledgement (and any amendments thereto) and to file
timely such form with the United States Securities and Exchange Commission and
any stock exchange or similar authority; and (3) take any other action of any
type whatsoever in connection with the foregoing which in the opinion of such
attorney-in-fact may be of benefit to, in the best interest of, or legally
required by, the undersigned, it being understood that the documents executed by
such attorney-in-fact on behalf of the undersigned pursuant to this Power of
Attorney shall be in such form and shall contain such terms and conditions as
such attorney-in-fact may approve in such attorney-in-fact's discretion.
The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorney-in-fact, or such
attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this Power of Attorney and the rights and powers herein
granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in
serving in such capacity at the request of the undersigned, are not assuming,
nor is the Company assuming, any of the undersigned's responsibilities to comply
with Section 16 of the 1934 Act.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms ID, 3, 4 and 5 with respect to
the undersigned's holdings of and transactions in securities issued by the
Company, unless earlier revoked by the undersigned in a signed writing delivered
to each of the foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 22nd day of January 2018.
/s/ David C. Paul
David C. Paul