Initial Statement of Beneficial Ownership (3)
11 März 2021 - 12:49AM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
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3235-0104
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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
*
Pritzker Jennifer N. |
2. Date of Event Requiring Statement (MM/DD/YYYY)
3/1/2021
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3. Issuer Name and Ticker or Trading Symbol
Alphatec Holdings, Inc. [ATEC]
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(Last)
(First)
(Middle)
104 S. MICHIGAN AVE. |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director ___X___ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
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(Street)
CHICAGO, IL 60603
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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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 | 29200 | D | |
| Common Stock | 11395045 | I | See footnote (1) |
| Common Stock | 2722805 | I | See footnote (2) |
| Common Stock | 10000 | I | See footnote (3) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4) | 2. Date Exercisable and Expiration Date
(MM/DD/YYYY) | 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) |
| Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
| Explanation of Responses: |
| (1) | These shares are held by Squadron Capital LLC ("Squadron"), a manager-managed limited liability company. As one of two members of the Managing Committee of Squadron, the reporting person may be deemed to be the beneficial owner of these shares. The reporting person expressly disclaims beneficial ownership of these shares, except to the extent of her pecuniary interest therein. |
| (2) | These shares are held by Tawani Holdings LLC, a manager-managed limited liability company where the reporting person is one of two managers and whose controlling member is a revocable trust (the "Trust") for the benefit of the reporting person, who also serves as trustee of the Trust. In such capacity, the reporting person may be deemed to be the beneficial owner of these shares. The reporting person expressly disclaims beneficial ownership of these shares, except to the extent of her pecuniary interest therein. |
| (3) | These shares are held by Mary's Go Round LLC, a manager-managed limited liability company whose manager and sole member is a corporation solely owned by the Trust and where the reporting person is the sole director. In such capacity, the reporting person may be deemed to be the beneficial owner of these shares. The reporting person expressly disclaims beneficial ownership of these shares, except to the extent of her pecuniary interest therein. |
Reporting Owners
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| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
Pritzker Jennifer N.
104 S. MICHIGAN AVE.
CHICAGO, IL 60603 |
| X |
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Signatures
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| /s/ Jennifer N. Pritzker | | 3/10/2021 |
| **Signature of Reporting Person | Date |
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