0001209191-22-010121.txt : 20220216
0001209191-22-010121.hdr.sgml : 20220216
20220216114316
ACCESSION NUMBER: 0001209191-22-010121
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220215
FILED AS OF DATE: 20220216
DATE AS OF CHANGE: 20220216
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Rich Terry M.
CENTRAL INDEX KEY: 0001544482
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38832
FILM NUMBER: 22642260
MAIL ADDRESS:
STREET 1: 520 LAKE COOK ROAD
STREET 2: SUITE 315
CITY: DEERFIELD
STATE: IL
ZIP: 60015
FORMER NAME:
FORMER CONFORMED NAME: Rich Terry
DATE OF NAME CHANGE: 20120312
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: SURGALIGN HOLDINGS, INC.
CENTRAL INDEX KEY: 0001760173
STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842]
IRS NUMBER: 832540607
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 520 LAKE COOK ROAD, SUITE 315
CITY: DEERFIELD
STATE: IL
ZIP: 60015
BUSINESS PHONE: 3864188888
MAIL ADDRESS:
STREET 1: 520 LAKE COOK ROAD, SUITE 315
CITY: DEERFIELD
STATE: IL
ZIP: 60015
FORMER COMPANY:
FORMER CONFORMED NAME: RTI Surgical Holdings, Inc.
DATE OF NAME CHANGE: 20190308
FORMER COMPANY:
FORMER CONFORMED NAME: Bears Holding Sub, Inc.
DATE OF NAME CHANGE: 20181127
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2022-02-15
0
0001760173
SURGALIGN HOLDINGS, INC.
SRGA
0001544482
Rich Terry M.
520 LAKE COOK ROAD, SUITE 315
DEERFIELD
IL
60015
1
1
0
0
President and CEO
Common Stock
2022-02-15
4
P
0
434784
0.4598
A
3225429
D
Warrants (right to buy)
0.60
2022-02-15
4
P
0
326088
0.0001
A
2022-02-15
2027-02-15
Common Stock
326088
765186
D
Total shares includes 17,985 shares purchased under the Company's Employee Stock Purchase Plan on December 31, 2021, which is exempt under Rule 16b-3(c).
by Jessica Rumschlag as attorney in fact
2022-02-16