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