Amended Statement of Changes in Beneficial Ownership (4/a)
February 28 2020 - 5:11PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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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
*
Singer Jonathon M |
2. Issuer Name and Ticker or Trading Symbol
RTI Surgical Holdings, Inc.
[
RTIX
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) CFO/CAO |
(Last)
(First)
(Middle)
520 LAKE COOK ROAD, SUITE 315 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
1/10/2020 |
(Street)
DEERFIELD, IL 60015
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
2/3/2020 |
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 Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock | 1/10/2020 | | A | | 216234 (1)(2) | A | $0.00 | 529864 | D | |
Common Stock | 1/10/2020 | | A | | 51213 (3)(4) | A | $0.00 | 581077 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
(1) | This Form 4 is being amended to correct the number of shares of restricted stock granted, calculated pursuant to the formula approved by the Compensation Committee of $950,000 divided by the volume weighted average price per share of the Company's common stock on the Nasdaq Stock Market for the fifteen trading days beginning on the close of the market on January 10, 2020 |
(2) | This Restricted Stock Award will become vested as to 108,118 on 1/10/2021, 27,029 on 4/10/2021, 27,029 on 7/10/2021, 27,029 on 10/10/2021 and 27,029 on 1/10/2022. |
(3) | This Form 4 is being amended to correct the number of shares of restricted stock granted, calculated pursuant to the formula approved by the Compensation Committee of $225,000 divided by the volume weighted average price per share of the Company's common stock on the Nasdaq Stock Market for the fifteen trading days beginning on the close of the market on January 10, 2020 |
(4) | This Restricted Stock Award will become vested as to 25,605 on 1/10/2021, 6,402 on 4/10/2021, 6,402 on 7/10/2021, 6,402 on 10/10/2021 and 6,402 on 1/10/2022. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Singer Jonathon M 520 LAKE COOK ROAD SUITE 315 DEERFIELD, IL 60015 |
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| CFO/CAO |
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Signatures
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By Emil D. Koller as attorney in fact | | 2/28/2020 |
**Signature of Reporting Person | Date |
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