SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Major Lane E

(Last) (First) (Middle)
600 HOPE PARKWAY SE

(Street)
LEESBURG VA 20175

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/29/2018
3. Issuer Name and Ticker or Trading Symbol
K2M GROUP HOLDINGS, INC. [ KTWO ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Operating Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 87,237(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (Right to Buy) (2) 02/26/2021 Common Stock 61,728 $9.26 D
Stock Option (Right to Buy) (2) 05/07/2024 Common Stock 23,457 $15 D
Stock Option (Right to Buy) (2) 02/27/2021 Common Stock 61,728 $9.26 D
Stock Option (Right to Buy) (3) 07/01/2025 Common Stock 19,000 $23.46 D
Stock Option (Right to Buy) (4) 06/14/2026 Common Stock 32,665 $14.38 D
Stock Option (Right to Buy) (5) 06/06/2027 Common Stock 21,807 $22.81 D
Explanation of Responses:
1. Includes 28,381 shares of restricted stock.
2. An option which is fully vested.
3. An option which vests in three equal installments on July 1, 2016, July 1, 2017 and July 1, 2018.
4. An option which vests in three equal installments on June 14, 2017, June 14, 2018 and June 14, 2019.
5. An option which vests in three equal installments on June 6, 2018, June 6, 2019 and June 6, 2020.
Remarks:
Exhibit List: Exhibit 24 - Power of Attorney
/s/ Greg Cole, attorney-in-fact 04/09/2018
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.