Statement of Changes in Beneficial Ownership (4)
09 November 2022 - 10:49AM
Edgar (US Regulatory)
FORM 4
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0287
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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
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Standish Beau |
2. Issuer Name and Ticker or Trading Symbol
SeaSpine Holdings Corp
[
SPNE
]
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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) President, Enabling Tech |
(Last)
(First)
(Middle)
5770 ARMADA |
3. Date of Earliest Transaction
(MM/DD/YYYY)
11/8/2022 |
(Street)
CARLSBAD, CA 92008
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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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 | 11/8/2022 | | C | | 254950 | A | $0 | 254950 | 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 |
Class B common shares of 7D Surgical ULC | $0.0 | 11/8/2022 | | C | | | 254950 | (1) | (2) | Common Stock | 254950.0 | $0 | 0 | I | Held by 2837165 Ontario Inc. |
Explanation of Responses: |
(1) | 7D Surgical ULC (the Canadian Sub) is an unlimited liability company incorporated under the laws of the Province of British Columbia and wholly owned subsidiary of SeaSpine Holdings Corporation (SeaSpine). The exchangeable shares of the Canadian Sub are exchangeable on a 1:1 basis for shares of common stock of SeaSpine, subject to customary adjustments. SeaSpine may require all outstanding exchangeable shares to be exchanged upon the occurrence of certain events and at any time following May 20, 2026. While outstanding, holders of exchangeable shares will be entitled to receive dividends economically equivalent to the dividends declared by SeaSpine with respect to SeaSpine's common stock, but will not be entitled to cast votes on matters for which holders of the SeaSpine's common stock are entitled to vote. The holder of the exchangeable shares may exchange them at any time. |
(2) | No expiration date. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Standish Beau 5770 ARMADA CARLSBAD, CA 92008 |
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| President, Enabling Tech |
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Signatures
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/s/Beau Standish, by Paul Benny, as Attorney-in-Fact | | 11/8/2022 |
**Signature of Reporting Person | Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* | If the form is filed by more than one reporting person, see Instruction 4(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). |
Note: | File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. |
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. |
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