Scott Lish - 14 Oct 2025 Form 4 Insider Report for Alphatec Holdings, Inc. (ATEC)

Role: CHIEF OPERATING OFFICER
Signature: /s/ Tyson E. Marshall, Attorney-in-Fact
Issuer symbol: ATEC
Transactions as of: 14 Oct 2025
Net transactions value: +$45,225
Form type: 4
Filing time: 15 Oct 2025, 19:20:12 UTC
Previous filing: 21 Aug 2025
Next filing: 21 Nov 2025
SEC: View on sec.gov

Reporting Owners (1)

Name	Relationship	Address	Signature	Signature date	CIK
Lish Scott	CHIEF OPERATING OFFICER	C/O ALPHATEC SPINE, INC., 1950 CAMINO VIDA ROBLE, CARLSBAD	/s/ Tyson E. Marshall, Attorney-in-Fact	15 Oct 2025	0001831608

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	ATEC	Common Stock	Options Exercise	$45,225	+13,500	+2%	$3.35	672,207	14 Oct 2025	Direct

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Underlying Class	Amount	Exercise Price	Ownership	Footnotes
transaction	ATEC	Employee Stock Option (right to buy)	Options Exercise	$0	-13,500	-100%	$0.000000	0	14 Oct 2025	Common Stock	13,500	$3.35	Direct	F1

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	The option vested 25% on March 22, 2019 (the first anniversary of the grant date) and thereafter in 36 equal monthly installments.