Lewicki Pawel 4
4 · SURGALIGN HOLDINGS, INC. · Filed Jan 4, 2022
Insider Transaction Report
Form 4
Lewicki Pawel
Director
Transactions
- Award
Common Stock
2021-12-30+3,410,396→ 3,410,396 total(indirect: By LLC)
Holdings
- 6,250,000(indirect: Roboticine, Inc)
Common Stock
- 2,084,635
Common Stock
Footnotes (3)
- [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.