0001179110-17-010369.txt : 20170714 0001179110-17-010369.hdr.sgml : 20170714 20170714124310 ACCESSION NUMBER: 0001179110-17-010369 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170714 FILED AS OF DATE: 20170714 DATE AS OF CHANGE: 20170714 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Black Jeffrey G. CENTRAL INDEX KEY: 0001449439 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52024 FILM NUMBER: 17965136 MAIL ADDRESS: STREET 1: 4955 DIRECTORS PLACE CITY: SAN DIEGO STATE: CA ZIP: 92121 4 1 edgar.xml FORM 4 - X0306 4 2017-07-14 0 0001350653 Alphatec Holdings, Inc. ATEC 0001449439 Black Jeffrey G. C/O ALPHATEC SPINE, INC. 5818 EL CAMINO REAL CARLSBAD CA 92008 0 1 0 0 Executive VP & CFO Common Stock 75000 D Common Stock 2017-07-14 4 M 0 25000 0.00 A 25000 I by IRA Series A Convertible Preferred Stock 0.00 2017-07-14 4 M 0 50 0.00 D Common Stock 25000 0 I by IRA Each share of Series A Convertible Preferred Stock has no expiration date and is convertible into 500 shares of the Issuer's common stock following the date that shareholders approve such conversion, which approval was obtained on June 15, 2017. /s/ Jeffrey G. Black 2017-07-14