0001209191-22-010123.txt : 20220216 0001209191-22-010123.hdr.sgml : 20220216 20220216114441 ACCESSION NUMBER: 0001209191-22-010123 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: Durall William Scott CENTRAL INDEX KEY: 0001818744 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38832 FILM NUMBER: 22642266 MAIL ADDRESS: STREET 1: 520 LAKE COOK ROAD STREET 2: SUITE 315 CITY: DEERFIELD STATE: IL ZIP: 60015 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 0001818744 Durall William Scott 520 LAKE COOK ROAD SUITE 315 DEERFIELD IL 60015 0 1 0 0 Chief Commercial Officer Common Stock 2022-02-15 4 P 0 217391 0.4598 A 878778 D Warrant (right to buy) 0.60 2022-02-15 4 P 0 163043 0.0001 A 2022-02-15 2027-02-15 Common Stock 163043 465462 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