0001209191-19-055270.txt : 20191105
0001209191-19-055270.hdr.sgml : 20191105
20191105170408
ACCESSION NUMBER: 0001209191-19-055270
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191101
FILED AS OF DATE: 20191105
DATE AS OF CHANGE: 20191105
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Serbousek Jon Carl
CENTRAL INDEX KEY: 0001536875
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-19961
FILM NUMBER: 191194171
MAIL ADDRESS:
STREET 1: C/O BIOMET, INC.
STREET 2: P.O. BOX 587
CITY: WARSAW
STATE: IN
ZIP: 46581-0587
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Orthofix Medical Inc.
CENTRAL INDEX KEY: 0000884624
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 000000000
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3451 PLANO PARKWAY
CITY: LEWISVILLE
STATE: TX
ZIP: 75056
BUSINESS PHONE: 214-937-2000
MAIL ADDRESS:
STREET 1: 3451 PLANO PARKWAY
CITY: LEWISVILLE
STATE: TX
ZIP: 75056
FORMER COMPANY:
FORMER CONFORMED NAME: ORTHOFIX INTERNATIONAL N V
DATE OF NAME CHANGE: 19970708
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-11-01
0
0000884624
Orthofix Medical Inc.
OFIX
0001536875
Serbousek Jon Carl
3451 PLANO PARKWAY
LEWISVILLE
TX
75056
1
1
0
0
CEO
Common Stock
2019-11-01
4
A
0
24085
0.00
A
38828
D
Stock Option (right to buy)
41.52
2019-11-01
4
A
0
81449
0.00
A
2029-11-01
Common Stock
81449
81449
D
Represents time-based vesting restricted stock units that vest in 25% increments on the first, second, third and fourth anniversaries of the grant date, November 1, 2019.
These stock options vest in 25% increments on the first, second, third and fourth anniversaries of the grant date, November 1, 2019.
/s/ Kimberley A. Elting, Chief Legal and Administrative Officer, by power of attorney
2019-11-05