UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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 control number. |
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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Employee Stock Option (right to buy) | 05/29/2019(2) | 05/29/2028 | Common Stock | 25,000 | $ 3.86 | D | Â |
Employee Stock Option (right to buy) | 11/02/2019(3) | 11/02/2028 | Common Stock | 20,000 | $ 3.17 | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Sponsel David C/O ALPHATEC SPINE, INC. 5818 EL CAMINO REAL CARLSBAD, CA 92008 |
 |  |  EVP, Sales |  |
/s/ David Sponsel | 04/05/2019 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | Comprised of 53,750 shares of common stock and 30,000 restricted stock units (RSUs). Each RSU represents a contingent right to receive one share of the issuer's common stock. 25,000 of the RSUs vest in four equal annual installments beginning on May 29, 2019, and 5,000 of the RSUs vest in four equal annual installments beginning on November 2, 2019. |
(2) | The options vest 25% on May 29, 2019 and thereafter in 36 equal monthly installments. |
(3) | The options vest 25% on November 2, 2019 and thereafter in 36 equal monthly installments. |