Pawel Lewicki - Dec 30, 2021 Form 4 Insider Report for SURGALIGN HOLDINGS, INC. (SRGA)

Role
Director
Signature
By Jessica Rumschlag as attorney in fact
Stock symbol
SRGA
Transactions as of
Dec 30, 2021
Transactions value $
$0
Form type
4
Date filed
1/4/2022, 08:07 PM
Previous filing
Jul 2, 2021
Next filing
Jan 28, 2022

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction SRGA Common Stock Award +3.41M 3.41M Dec 30, 2021 By Neva, LLC F1, F2
holding SRGA Common Stock 6.25M Dec 30, 2021 Roboticine, Inc F3
holding SRGA Common Stock 2.08M Dec 30, 2021 Direct
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 These shares of common stock were issued to the reporting person in exchange for a portion of the ownership interests in Inteneural Networks Inc. having an estimated value of $2,694,212.84.
F2 These shares of common stock are held by Neva, LLC, in which the reporting person holds all of the outstanding ownership interests.
F3 These shares of common stock are held by Roboticine, Inc, in which the reporting person indirectly holds a majority of the outstanding ownership interests. The reporting person disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.