SRGA / Surgalign Holdings Inc - Pengajuan SECLaporan Tahunan, Pernyataan Proksi

Surgalign Holdings Inc
US ˙ NASDAQ
HINDI NA ACTIVE ANG SIMBONG ITO

Mga Batayang Estadistika
LEI 254900M8OMEHVX0KYR81
CIK 1760173
SEC Filings
All companies that sell securities in the United States must register with the Securities and Exchange Commission (SEC) and file reports on a regular basis. These reports include company annual reports (10K, 10Q), news updates (8K), investor presentations (found in 8Ks), insider trades (form 4), ownership reports (13D, and 13G), and reports related to the specific securities sold, such as registration statements and prospectus. This page shows recent SEC filings related to Surgalign Holdings Inc
SEC Filings (Chronological Order)
Halaman ini menyediakan daftar lengkap dan kronologis dari Pengajuan SEC, tidak termasuk pengajuan kepemilikan yang kami sediakan di tempat lain.
February 14, 2024 SC 13G/A

US86882C2044 / Surgalign Holdings, Inc. / ARMISTICE CAPITAL, LLC Passive Investment

SC 13G/A 1 armistice-srga123123a1.htm UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 1)* SURGALIGN HOLDINGS, INC. (Name of Issuer) Common stock, $0.001 par value (Title of Class of Securities) 86882C204 (CUSIP Number) December 31, 2023 (Date of Event Which Requires Filing of this Statement) Check the appro

November 13, 2023 15-12G

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 15 Certification and Notice of Termination of Registration under Section 12(g) of the Securities Exchange Act of 1934 or Suspension of Duty to File Reports Under Sections 13

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 15 Certification and Notice of Termination of Registration under Section 12(g) of the Securities Exchange Act of 1934 or Suspension of Duty to File Reports Under Sections 13 and 15(d) of the Securities Exchange Act of 1934. Commission File Number: 001-38832 SURGALIGN HOLDINGS, INC. (Exact name of registrant as specified i

October 2, 2023 POS AM

As filed with the Securities and Exchange Commission on October 2, 2023

As filed with the Securities and Exchange Commission on October 2, 2023 Registration Nos.

October 2, 2023 POS AM

As filed with the Securities and Exchange Commission on October 2, 2023

As filed with the Securities and Exchange Commission on October 2, 2023 Registration Nos.

October 2, 2023 S-8 POS

As filed with the Securities and Exchange Commission on October 2, 2023

As filed with the Securities and Exchange Commission on October 2, 2023 Registration No.

October 2, 2023 POS AM

As filed with the Securities and Exchange Commission on October 2, 2023

As filed with the Securities and Exchange Commission on October 2, 2023 Registration No.

October 2, 2023 S-8 POS

As filed with the Securities and Exchange Commission on October 2, 2023

As filed with the Securities and Exchange Commission on October 2, 2023 Registration No.

October 2, 2023 S-8 POS

As filed with the Securities and Exchange Commission on October 2, 2023

As filed with the Securities and Exchange Commission on October 2, 2023 Registration No.

September 29, 2023 EX-16.1

GRANT THORNTON LLP

Exhibit 16.1 GRANT THORNTON LLP Grant Thornton Tower 171 N. Clark Street, Suite 200 Chicago, IL 60601 D +1 312 856 0200 F +1 312 602 8099 September 29, 2023 U.S. Securities and Exchange Commission Office of the Chief Accountant 100 F Street, NE Washington, DC 20549 Re: Surgalign Holdings, Inc. File No. 001-38832 Dear Sir or Madam: We have read Item 4.01 of Form 8-K of Surgalign Holdings, Inc. date

September 29, 2023 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): September 27, 2023 SURGALIGN HOLDIN

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): September 27, 2023 SURGALIGN HOLDINGS, INC.

September 29, 2023 EX-2.1

IN THE UNITED STATES BANKRUPTCY COURT FOR THE SOUTHERN DISTRICT OF TEXAS HOUSTON DIVISION

Exhibit 2.1 IN THE UNITED STATES BANKRUPTCY COURT FOR THE SOUTHERN DISTRICT OF TEXAS HOUSTON DIVISION ) In re: ) Chapter 11 ) SURGALIGN HOLDINGS, INC., et al.1 ) Case No. 23-90731 (CML) ) Debtors. ) (Jointly Administered) ) ORDER (I) APPROVING THE DISCLOSURE STATEMENT, (II) CONFIRMING THE JOINT CHAPTER 11 PLAN OF SURGALIGN HOLDINGS, INC. AND ITS AFFILIATED DEBTORS, AND (III) GRANTING RELATED RELIE

August 18, 2023 8-K

Entry into a Material Definitive Agreement, Creation of a Direct Financial Obligation or an Obligation under an Off-Balance Sheet Arrangement of a Registrant, Completion of Acquisition or Disposition of Assets

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): August 9, 2023 SURGALIGN HOLDINGS, INC.

August 14, 2023 NT 10-Q

SEC File Number

SEC File Number 001-38832 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.

August 1, 2023 8-K

Regulation FD Disclosure, Financial Statements and Exhibits, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): August 1, 2023 (June 28, 2023) SURGALIGN HOLDINGS, INC.

August 1, 2023 EX-99.1

Surgalign Successfully Completes Auction and Names Successful Bidders For Asset Sales

Exhibit 99.1 Surgalign Successfully Completes Auction and Names Successful Bidders For Asset Sales DEERFIELD, Ill., July 28, 2023 – Surgalign Holdings, Inc., (OTC: SRGAQ) (“Surgalign” or the “Company”), a global medical technology company focused on elevating the standard of care by driving the evolution of digital health, today announced that following a competitive court-supervised marketing and

June 23, 2023 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): June 23, 2023 SURGALIGN HOLDINGS, I

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): June 23, 2023 SURGALIGN HOLDINGS, INC.

June 23, 2023 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): June 22, 2023 SURGALIGN HOLDINGS, I

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): June 22, 2023 SURGALIGN HOLDINGS, INC.

June 23, 2023 EX-99.1

Surgalign Receives NASDAQ Delisting Notice Following its Chapter 11 Filing Delisting to take effect on July 3, 2023; Company’s common stock is expected to begin trading on the OTC under the symbol SRGAQ

EX-99.1 Exhibit 99.1 Surgalign Receives NASDAQ Delisting Notice Following its Chapter 11 Filing Delisting to take effect on July 3, 2023; Company’s common stock is expected to begin trading on the OTC under the symbol SRGAQ Deerfield, Ill., June 23, 2023 – Surgalign Holdings, Inc., (NASDAQ: SRGA) a global medical technology company focused on elevating the standard of care by driving the evolution

June 20, 2023 EX-10.2

SURGALIGN SPINE TECHNOLOGIES, INC. SENIOR EXECUTIVE RETENTION & INCENTIVE LETTER AGREEMENT

EX-10.2 Exhibit 10.2 SURGALIGN SPINE TECHNOLOGIES, INC. SENIOR EXECUTIVE RETENTION & INCENTIVE LETTER AGREEMENT Dear [•]: On behalf of Surgalign Spine Technologies, Inc. (the “Company”), I am pleased to offer you the opportunity to receive employee retention and incentive bonuses if you agree to the terms and conditions contained in this letter agreement (this “Agreement”), which shall be effectiv

June 20, 2023 EX-10.1

CONSULTANT & SEPARATION AGREEMENT

EX-10.1 Exhibit 10.1 CONSULTANT & SEPARATION AGREEMENT This CONSULTANT & SEPARATION AGREEMENT (the “Agreement”), effective on June 16, 2023 (the “Effective Date”), is by and between Scott Durall, an individual, (“Consultant”) and Surgalign Spine Technologies, Inc., a Delaware corporation with an address at 520 Lake Cook Road, Suite 315, Deerfield, IL 60015 (“Surgalign” or “Company”) (each individu

June 20, 2023 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): June 12, 2023 SURGALIGN HOLDINGS, I

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): June 12, 2023 SURGALIGN HOLDINGS, INC.

June 20, 2023 EX-2.1

ASSET PURCHASE AGREEMENT dated as of June 18, 2023 by and between Surgalign Holdings, Inc., Xtant Medical Holdings, Inc.

EX-2.1 Exhibit 2.1 ASSET PURCHASE AGREEMENT dated as of June 18, 2023 by and between Surgalign Holdings, Inc., and Xtant Medical Holdings, Inc. ASSET PURCHASE AGREEMENT This ASSET PURCHASE AGREEMENT (“Agreement”) is entered into as of June 18, 2023 by and between Xtant Medical Holdings, Inc., a Delaware corporation (the “Purchaser”), and Surgalign Holdings, Inc., a Delaware corporation (“Seller”).

June 20, 2023 EX-99.1

Surgalign Enters Into Definitive Agreement to Sell Global Hardware and Biologics Business Through a Structured Sale Process Under Chapter 11 of the U.S. Bankruptcy Code

EX-99.1 Exhibit 99.1 Surgalign Enters Into Definitive Agreement to Sell Global Hardware and Biologics Business Through a Structured Sale Process Under Chapter 11 of the U.S. Bankruptcy Code DEERFIELD, Ill., June 20, 2023 – Surgalign Holdings, Inc., (NASDAQ: SRGA) (“Surgalign” or the “Company”) a global medical technology company focused on elevating the standard of care by driving the evolution of

June 20, 2023 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): June 19, 2023 SURGALIGN HOLDINGS, I

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): June 19, 2023 SURGALIGN HOLDINGS, INC.

June 15, 2023 EX-10.1

SURGALIGN HOLDINGS, INC. 520 Lake Cook Road, Suite 315, Deerfield, Illinois 60015 June 7, 2023

EX-10.1 Exhibit 10.1 SURGALIGN HOLDINGS, INC. 520 Lake Cook Road, Suite 315, Deerfield, Illinois 60015 June 7, 2023 BY EMAIL Ms. Jill Frizzley [email protected] Dear Ms. Frizzley: This letter agreement sets forth the terms under which you have agreed to serve as a director for Surgalign Holdings, Inc. (the “Company”). By signing this letter agreement, you confirm that you do not po

June 15, 2023 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): June 8, 2023 SURGALIGN HOLDINGS, IN

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): June 8, 2023 SURGALIGN HOLDINGS, INC.

June 15, 2023 EX-10.2

SURGALIGN HOLDINGS, INC. 520 Lake Cook Road, Suite 315, Deerfield, Illinois 60015 June 7, 2023

EX-10.2 Exhibit 10.2 SURGALIGN HOLDINGS, INC. 520 Lake Cook Road, Suite 315, Deerfield, Illinois 60015 June 7, 2023 Ms. Elizabeth A. LaPuma 546 North Street Greenwich, CT 06830 Dear Ms. LaPuma: This letter agreement sets forth the terms under which you have agreed to serve as a director for Surgalign Holdings, Inc. (the “Company”). By signing this letter agreement, you confirm that you do not poss

June 9, 2023 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): June 9, 2023 SURGALIGN HOLDINGS, IN

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): June 9, 2023 SURGALIGN HOLDINGS, INC.

May 30, 2023 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): May 30, 2023 SURGALIGN HOLDINGS, IN

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): May 30, 2023 SURGALIGN HOLDINGS, INC.

May 22, 2023 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): May 22, 2023 SURGALIGN HOLDINGS, IN

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): May 22, 2023 SURGALIGN HOLDINGS, INC.

May 11, 2023 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) x QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended March 31, 2023 OR o TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to Commission file number 001-38832 SURGALIGN

May 11, 2023 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) May 11, 2023 SURGALIGN HOLDINGS, INC

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) May 11, 2023 SURGALIGN HOLDINGS, INC.

May 11, 2023 EX-99.1

Surgalign Announces First Quarter 2023 Results and Provides Update on its Business Operations

Surgalign Announces First Quarter 2023 Results and Provides Update on its Business Operations Deerfield, Ill.

April 28, 2023 DEF 14A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A PROXY STATEMENT PURSUANT TO SECTION 14(a) OF THE SECURITIES EXCHANGE ACT OF 1934

DEF 14A Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.

April 13, 2023 8-K

Notice of Delisting or Failure to Satisfy a Continued Listing Rule or Standard; Transfer of Listing

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): April 10, 2023 SURGALIGN HOLDINGS, INC. (Exact name of registrant as specified in its charter) Delaware 001-38832 83-2540607 (State or other jurisdiction of incorporation or organizat

March 30, 2023 EX-10.23

Employment Agreement between the Company and Paolo Amoruso dated August 1, 2022.

Exhibit 10.23 EMPLOYMENT AGREEMENT THIS EMPLOYMENT AGREEMENT (the “Agreement”), made this 1st day of August, 2022 (the “Effective Date”), is entered into among Paolo Amoruso (“Executive”), and Surgalign Holdings, Inc., a Delaware corporation (the “Company”). 1.Commencement. This Agreement shall govern Executive’s employment by the Company, which shall begin on August 1, 2022, or such other date mu

March 30, 2023 10-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K ☒ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the fiscal year ended December 31, 2022 or ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period fromto Commission file number 001-38832 Surgalign Holdings, Inc. (E

March 30, 2023 EX-21.1

Subsidiaries of the Registrant

Exhibit 21.1 NAME OF SUBSIDIARY JURISDICTION OF INCORPORATION U.S. Subsidiaries Surgalign Spine Technologies, Inc. Delaware Regeneration Technologies, Inc.—Cardiovascular Alabama RTI Services, Inc. Delaware Tutogen Medical, Inc. Florida Pioneer Surgical Technology, Inc. Michigan Angstrom Acquisition Corp. II Delaware Pioneer Surgical Orthobiologics, Inc. Delaware Zyga Technology, Inc. Delaware Par

March 30, 2023 EX-10.22

Employment Agreement between the Company and

Exhibit 10.22 EMPLOYMENT AGREEMENT THIS EMPLOYMENT AGREEMENT (the “Agreement”), made this 2nd day of April, 2021 (the “Effective Date”), is entered into among Marc Mackey (“Executive”), and Surgalign Holdings, Inc., a Delaware corporation (the “Company”). 1.Commencement. This Agreement shall govern Executive’s employment by the Company, which shall begin on April 12, 2021, or such other date mutua

March 30, 2023 EX-10.24

Employment Amendment between the Company and Scott Durall dated January 10, 2023.

Exhibit 10.24 January 10, 2023 Scott Durall [email protected] Dear Scott, In follow up your conversation with Terry Rich, CEO and our email communication in September, this letter is to memorialize and secure your acknowledgement of the changes in your compensation effective in 2022 as follows: Base Salary: $400,000 annually, effective September 1, 2022 Target Annual Incentive: 80% (eighty per

March 30, 2023 EX-99.1

Reconciliation of Net Loss Applicable to Common Shares and Net Loss Income Per Diluted Share to Adjusted Net Loss Applicable to Common Shares and Adjusted Net Loss Per Diluted Share

Surgalign Holdings, Inc. Announces Fourth Quarter and Full Year 2022 Results Deerfield, Ill., March 30, 2023 – Surgalign Holdings, Inc., (NASDAQ: SRGA) a global medical technology company focused on elevating the standard of care by driving the evolution of digital surgery, today reported operating results for its fourth quarter and full year 2022 ending December 31, 2022. 2022 Fourth Quarter and

March 30, 2023 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) March 30, 2023 SURGALIGN HOLDINGS, I

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) March 30, 2023 SURGALIGN HOLDINGS, INC.

March 16, 2023 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): March 16, 2023 SURGALIGN HOLDINGS,

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): March 16, 2023 SURGALIGN HOLDINGS, INC.

March 16, 2023 EX-99.1

Surgalign to Host its 2023 Annual Meeting of Shareholders on June 1, 2023

EX-99.1 Exhibit 99.1 FOR IMMEDIATE RELEASE Surgalign to Host its 2023 Annual Meeting of Shareholders on June 1, 2023 DEERFIELD, Ill., March 16, 2023 – Surgalign Holdings, Inc., (NASDAQ: SRGA) a global medical technology company focused on elevating the standard of care by driving the evolution of digital health, today announced that it will be hosting its 2023 Annual Meeting of Shareholders virtua

March 6, 2023 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): February 28, 2023 SURGALIGN HOLDING

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): February 28, 2023 SURGALIGN HOLDINGS, INC.

March 6, 2023 EX-10.1

Transition Services Agreement between Surgalign Spine Technologies Inc., Surgalign SPV Inc. and Xtant Medical Holdings Inc. dated February 28. 2023

EX-10.1 Exhibit 10.1 CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT HAS BEEN OMITTED BECAUSE IT IS BOTH (I) NOT MATERIAL AND (II) WOULD BE COMPETITIVELY HARMFUL IF PUBLICLY DISCLOSED. INFORMATION THAT HAS BEEN OMITTED HAS BEEN NOTED IN THIS DOCUMENT WITH A PLACEHOLDER IDENTIFIED BY THE MARK “[***]”. TRANSITION SERVICES AGREEMENT AMONG SURGALIGN SPV, INC., SURGALIGN SPINE TECHNOLOGIES,

March 6, 2023 EX-2.1

Equity Purchase Agreement between Surgalign Spine Technologies, Surgalign SPV Inc., and Xtant Medical Holdings Inc. dated February 28, 2023.

EX-2.1 Exhibit 2.01 EQUITY PURCHASE AGREEMENT This EQUITY PURCHASE AGREEMENT (this “Agreement”) is entered into as of February 28, 2023, by and among XTANT MEDICAL HOLDINGS, INC., a Delaware corporation (“Buyer”), SURGALIGN SPV, INC. (the “Company”), a Delaware corporation and wholly owned subsidiary of SURGALIGN SPINE TECHNOLOGIES, INC., a Delaware corporation (“Seller”), Seller and SURGALIGN HOL

March 6, 2023 8-K/A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K/A (1st Amendment) CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): March 6, 2023 (No

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K/A (1st Amendment) CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): March 6, 2023 (November 9, 2022) SURGALIGN HOLDINGS, INC.

March 6, 2023 EX-99.1

Surgalign Provides Update on Corporate Restructuring Initiatives and Confirms its Prior 2022 Revenue Guidance Company on track to achieve target cash savings of $30—$35 million in 2023 vs 2022; expects to report 2022 revenue of approximately $82.0 mi

EX-99.1 Exhibit 99.1 Surgalign Provides Update on Corporate Restructuring Initiatives and Confirms its Prior 2022 Revenue Guidance Company on track to achieve target cash savings of $30—$35 million in 2023 vs 2022; expects to report 2022 revenue of approximately $82.0 million and end the year with a cash balance in excess of $16 million Deerfield, Ill., March 6, 2023 – Surgalign Holdings, Inc. (Na

March 1, 2023 EX-99.1

Xtant Medical Acquires Coflex® Product Line from Surgalign for $17 Million Expands Xtant’s Product Offering with the Leading PMA-Approved Intralaminar Stabilization Device Strengthens Surgalign’s Balance Sheet as it Embarks on its Digital Health Stra

EX-99.1 Exhibit 99.1 Xtant Medical Acquires Coflex® Product Line from Surgalign for $17 Million Expands Xtant’s Product Offering with the Leading PMA-Approved Intralaminar Stabilization Device Strengthens Surgalign’s Balance Sheet as it Embarks on its Digital Health Strategy BELGRADE, MT and DEERFIELD, ILL., March 1, 2023 – Xtant Medical Holdings, Inc. (NYSE American: XTNT), a global medical techn

March 1, 2023 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): March 1, 2023 SURGALIGN HOLDINGS, I

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): March 1, 2023 SURGALIGN HOLDINGS, INC.

February 14, 2023 SC 13G

US86882C2044 / Surgalign Holdings, Inc. / ARMISTICE CAPITAL, LLC Passive Investment

SC 13G 1 armistice-srga123122.htm UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. )* SURGALIGN HOLDINGS, INC. (Name of Issuer) Common stock, $0.001 par value (Title of Class of Securities) 86882C204 (CUSIP Number) December 31, 2022 (Date of Event Which Requires Filing of this Statement) Check the appropriat

December 22, 2022 EX-3.1

Amended and Restated Bylaws of Surgalign Holdings, Inc., effective as of December 20, 2022

EX-3.1 Exhibit 3.1 AMENDED AND RESTATED BYLAWS OF SURGALIGN HOLDINGS, INC. Effective December 20, 2022 ARTICLE I OFFICES SECTION 1.01 REGISTERED OFFICE. The registered office of the corporation in the State of Delaware shall be in the City of Dover, County of Kent, and the name of its registered agent shall be United Corporate Services, Inc. SECTION 1.02 OTHER OFFICES. The corporation may also hav

December 22, 2022 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): December 22, 2022 (December 20, 202

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): December 22, 2022 (December 20, 2022) SURGALIGN HOLDINGS, INC.

November 16, 2022 424B3

Warrants to purchase up to 521,739 Shares of Common Stock

Filed Pursuant to Rule 424(b)(3) Registration Statement No. 333-231719 PROSPECTUS SUPPLEMENT Dated November 16, 2022 (To Prospectus Supplement Dated June 9, 2021) Warrants to purchase up to 521,739 Shares of Common Stock This prospectus supplement (?Supplement?) modifies, supersedes and supplements certain information contained in, and should be read in conjunction with, that certain prospectus su

November 16, 2022 424B3

Warrants to purchase up to 597,826 Shares of Common Stock

Filed Pursuant to Rule 424(b)(3) Registration Statement No. 333-259893 PROSPECTUS SUPPLEMENT Dated November 16, 2022 (To Prospectus Supplement Dated February 10, 2022) Warrants to purchase up to 597,826 Shares of Common Stock This prospectus supplement (?Supplement?) modifies, supersedes and supplements certain information contained in, and should be read in conjunction with, that certain prospect

November 15, 2022 424B5

SURGALIGN HOLDINGS, INC. 740,000 Shares of Common Stock Series A Warrants to Purchase up to 6,000,000 shares of Common Stock Series B Warrants to Purchase up to 1,500,000 shares of Common Stock Pre-Funded Warrants to Purchase up to 5,260,000 Shares o

424B5 Table of Contents Filed Pursuant to Rule 424(b)(5) Registration Statement No.

November 15, 2022 EX-4.1

Form of Pre-Funded Warrant

Exhibit 4.1 PRE-FUNDED COMMON STOCK PURCHASE WARRANT SURGALIGN HOLDINGS, INC. Warrant Shares: Issue Date:, 2022 Initial Exercise Date: , 2022 THIS PRE-FUNDED COMMON STOCK PURCHASE WARRANT (the ?Warrant?) certifies that, for value received, or its assigns (the ?Holder?) is entitled, upon the terms and subject to the limitations on exercise and the conditions hereinafter set forth, at any time on or

November 15, 2022 EX-10.1

Form of Purchase Agreement

Exhibit 10.1 SECURITIES PURCHASE AGREEMENT This Securities Purchase Agreement (this ?Agreement?) is dated as of November 13, 2022, between Surgalign Holdings, Inc., a Delaware corporation (the ?Company?), and each purchaser identified on the signature pages hereto (each, including its successors and assigns, a ?Purchaser? and collectively the ?Purchasers?). WHEREAS, subject to the terms and condit

November 15, 2022 EX-4.2

Form of Series A/B Warrant

Exhibit 4.2 [SERIES A/SERIES B] COMMON STOCK PURCHASE WARRANT SURGALIGN HOLDINGS, INC. Warrant Shares: Issue Date:, 2022 Initial Exercise Date: , 2022 THIS [SERIES A/SERIES B] COMMON STOCK PURCHASE WARRANT (the ?Warrant?) certifies that, for value received, or its assigns (the ?Holder?) is entitled, upon the terms and subject to the limitations on exercise and the conditions hereinafter set forth,

November 15, 2022 EX-4.3

Form of Placement Agent Warrant

Exhibit 4.3 PLACEMENT AGENT COMMON STOCK PURCHASE WARRANT SURGALIGN HOLDINGS, INC. Warrant Shares: Issue Date: November 16, 2022 Initial Exercise Date: November 16, 2022 THIS PLACEMENT AGENT COMMON STOCK PURCHASE WARRANT (the ?Warrant?) certifies that, for value received, or its assigns (the ?Holder?) is entitled, upon the terms and subject to the limitations on exercise and the conditions hereina

November 15, 2022 EX-4.4

Form of Warrant Amendment Agreement

Exhibit 4.4 November 14, 2022 Holder of Warrants to Purchase Common Stock issued in June 2021 (521,739 warrants @$51.75 per share) and in February 2022 (597,826 warrants @$18.00 per share) Re: Amendment to Existing Warrants Dear Holder: Reference is hereby made to the concurrent private placement on or about the date hereof (the ?Offering?) by Surgalign Holdings, Inc. (the ?Company?) of its securi

November 15, 2022 EX-99.1

Surgalign Announces $12.0 Million Registered Direct Offering Priced At-the-Market Under Nasdaq Rules

Exhibit 99.1 Surgalign Announces $12.0 Million Registered Direct Offering Priced At-the-Market Under Nasdaq Rules Deerfield, Ill., November 14, 2022 ? Surgalign Holdings, Inc. (Nasdaq: SRGA), a global medical technology company focused on elevating the standard of care by driving the evolution of digital surgery, today announced that it has entered into a definitive agreement with a single institu

November 15, 2022 8-K

Entry into a Material Definitive Agreement, Financial Statements and Exhibits

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): November 13, 2022 SURGALIGN HOLDINGS, INC.

November 9, 2022 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): November 9, 2022 SURGALIGN HOLDINGS

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): November 9, 2022 SURGALIGN HOLDINGS, INC.

November 2, 2022 EX-99.1

Surgalign Announces Third Quarter 2022 Results and Provides Update on Business Operations and Financial Outlook

Surgalign Announces Third Quarter 2022 Results and Provides Update on Business Operations and Financial Outlook Deerfield, Ill.

November 2, 2022 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) x QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended September 30, 2022 OR o TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to Commission file number 001-38832 SURGAL

November 2, 2022 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) November 2, 2022 SURGALIGN HOLDINGS,

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) November 2, 2022 SURGALIGN HOLDINGS, INC.

August 24, 2022 EX-99.1

Surgalign Announces FDA 510(k) Clearance of the CorteraTM Spinal Fixation System – The Company’s New Flagship Posterior Fixation Platform

Exhibit 99.1 FOR IMMEDIATE RELEASE Surgalign Announces FDA 510(k) Clearance of the CorteraTM Spinal Fixation System ? The Company?s New Flagship Posterior Fixation Platform DEERFIELD, Ill., August 24, 2022 ? Surgalign Holdings, Inc., (NASDAQ: SRGA) a global medical technology company focused on elevating the standard of care by driving the evolution of digital health, today announced FDA 510(k) cl

August 24, 2022 8-K

Regulation FD Disclosure, Financial Statements and Exhibits

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): August 24, 2022 SURGALIGN HOLDINGS, INC.

August 10, 2022 EX-10.23

Global Settlement Agreement by and between Surgalign Spine Technologies, Inc. and Surgalign Holdings, Inc., on the one hand, and Pioneer Surgical Technology, Inc. d/b/a Resolve Surgical Technologies and RTI Surgical, Inc., on the other hand

Exhibit 10.23 GLOBAL SETTLEMENT AGREEMENT This Global Settlement Agreement (the ?Agreement?), effective as of the last date of execution below (the ?Settlement Effective Date?), is by and between Surgalign Spine Technologies, Inc. and Surgalign Holdings, Inc. (together ?Surgalign?), on the one hand, and Pioneer Surgical Technology, Inc. d/b/a Resolve Surgical Technologies and RTI Surgical, Inc. (t

August 10, 2022 EX-99.1

Surgalign Announces Global Settlement Agreement with Resolve Surgical Technologies and RTI Surgical, Inc. Parties enter into new sole-source supply relationship, extended for two years

Exhibit 99.1 Surgalign Announces Global Settlement Agreement with Resolve Surgical Technologies and RTI Surgical, Inc. Parties enter into new sole-source supply relationship, extended for two years DEERFIELD, Ill., August 10, 2022 ? Surgalign Holdings, Inc., (NASDAQ: SRGA) a global medical technology company focused on elevating the standard of care by driving the evolution of digital health, toda

August 10, 2022 8-K

Entry into a Material Definitive Agreement, Financial Statements and Exhibits, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): August 5, 2022 SURGALIGN HOLDINGS, INC.

August 9, 2022 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) x QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended June 30, 2022 OR o TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to Commission file number 001-38832 SURGALIGN H

August 9, 2022 EX-99.1

Surgalign Holdings, Inc. Announces Second Quarter 2022 Results and Reiterates Full Year 2022 Revenue Guidance Range

Surgalign Holdings, Inc. Announces Second Quarter 2022 Results and Reiterates Full Year 2022 Revenue Guidance Range Deerfield, Ill., August 9, 2022 ? Surgalign Holdings, Inc., (NASDAQ: SRGA) a global medical technology company focused on elevating the standard of care by driving the evolution of digital surgery, today announced financial results for its 2022 second quarter ended June 30, 2022. 202

August 9, 2022 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) August 9, 2022 SURGALIGN HOLDINGS, INC.

August 5, 2022 8-K

Financial Statements and Exhibits, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): August 4, 2022 SURGALIGN HOLDINGS, INC.

August 5, 2022 EX-99.1

Surgalign Reaches Settlement with the Securities and Exchange Commission on Matters Related to Prior Management Between 2015-2019

Exhibit 99.1 Surgalign Reaches Settlement with the Securities and Exchange Commission on Matters Related to Prior Management Between 2015-2019 DEERFIELD, Ill., August, 3, 2022 ? Surgalign Holdings, Inc., (NASDAQ: SRGA) reached a settlement with the U.S. Securities and Exchange Commission (?SEC?) on August 3, 2022, concluding and resolving in its entirety the previously disclosed SEC investigation

June 30, 2022 EX-99.1

Amendment to Surgalign Holdings, Inc. 2021 Incentive Compensation Plan.

EXHIBIT 99.1 AMENDMENT TO SURGALIGN HOLDINGS, INC. 2021 INCENTIVE COMPENSATION PLAN THIS AMENDMENT TO THE 2021 INCENTIVE COMPENSATION PLAN (this ?Amendment?) is adopted effective as of June 29, 2022 (the ?Effective Date?), by Surgalign Holdings, Inc., a Delaware corporation (the ?Company?), pursuant to Section 9(f) of the Company?s 2021 Incentive Compensation Plan (the ?Plan?). 1. BACKGROUND The C

June 30, 2022 S-8

As filed with the Securities and Exchange Commission on June 30, 2022

As filed with the Securities and Exchange Commission on June 30, 2022 Registration No.

June 30, 2022 EX-FILING FEES

Filing Fee Table

EXHIBIT 107 CALCULATION OF FILING FEE TABLES Form S-8 (Form Type) Surgalign Holdings, Inc.

June 2, 2022 8-K

Financial Statements and Exhibits, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): June 2, 2022 SURGALIGN HOLDINGS, INC.

June 2, 2022 EX-99.1

Sent via Electronic Delivery to: [email protected]

Exhibit 99.1 Sent via Electronic Delivery to: [email protected] June 1, 2022 Mr. Joshua H. DeRienzis Chief Legal Officer Surgalign Holdings, Inc. 520 Lake Cook Road, Suite 315 Deerfield, Illinois 60015 Re: Surgalign Holdings, Inc. (the ?Company?) Nasdaq Security: Common Stock Nasdaq Symbol: SRGA Dear Mr. DeRienzis: On December 23, 2021, Staff notified the Company that its common stock faile

May 16, 2022 EX-3.1

Certificate of Amendment to Amended and Restated Certificate of Incorporation of Surgalign Holdings, Inc.

Exhibit 3.1 THIRD CERTIFICATE OF AMENDMENT TO AMENDED AND RESTATED CERTIFICATE OF INCORPORATION OF SURGALIGN HOLDINGS, INC. Surgalign Holdings, Inc., a corporation organized and existing under the laws of the State of Delaware (the ?Corporation?), certifies: FIRST: That on March 7, 2022, the board of directors of the Corporation (the ?Board of Directors?) duly adopted resolutions: (i) authorizing

May 16, 2022 EX-99.1

Surgalign Holdings, Inc. Announces

Exhibit 99.1 Surgalign Holdings, Inc. Announces 1-for-30 Reverse Stock Split DEERFIELD, Ill., May 16, 2022 ? Surgalign Holdings, Inc., (NASDAQ: SRGA) a global medical technology company focused on elevating the standard of care by driving the evolution of digital health, today announced that at its Annual Meeting of Stockholders (?Annual Meeting?) on May 10, 2022, the stockholders of the Company a

May 16, 2022 8-K

Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers, Amendments to Articles of Incorporation or Bylaws; Change in Fiscal Year, Material Modification to Rights of Security Holders, Financial Statements and Exhibits, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): May 16, 2022 SURGALIGN HOLDINGS, INC.

May 12, 2022 8-K

Submission of Matters to a Vote of Security Holders

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): May 10, 2022 SURGALIGN HOLDINGS, INC.

May 10, 2022 EX-99.1

Surgalign Holdings, Inc. Announces First Quarter 2022 Results and Raises Full Year 2022 Revenue Guidance Range

Surgalign Holdings, Inc. Announces First Quarter 2022 Results and Raises Full Year 2022 Revenue Guidance Range Deerfield, Ill., May 10, 2022 ? Surgalign Holdings, Inc., (NASDAQ: SRGA) a global medical technology company focused on elevating the standard of care by driving the evolution of digital surgery, today announced financial results for its 2022 first quarter ended March 31, 2022. Financial

May 10, 2022 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) May 10, 2022 SURGALIGN HOLDINGS, INC.

May 10, 2022 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) x QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended March 31, 2022 OR o TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to Commission file number 001-38832 SURGALIGN

April 11, 2022 DEF 14A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A PROXY STATEMENT PURSUANT TO SECTION 14(a) OF THE SECURITIES EXCHANGE ACT OF 1934

DEF 14A 1 d134589ddef14a.htm DEF 14A Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A PROXY STATEMENT PURSUANT TO SECTION 14(a) OF THE SECURITIES EXCHANGE ACT OF 1934 Filed by the Registrant ☒ Filed by a Party other than the Registrant ☐ Check the appropriate box: ☐ Preliminary Proxy Statement ☐ Confidential, for Use of the Commission Only (as

April 7, 2022 8-K

Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): April 1, 2022 SURGALIGN HOLDINGS, INC.

March 30, 2022 PRE 14A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A PROXY STATEMENT PURSUANT TO SECTION 14(a) OF THE SECURITIES EXCHANGE ACT OF 1934

Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A PROXY STATEMENT PURSUANT TO SECTION 14(a) OF THE SECURITIES EXCHANGE ACT OF 1934 Filed by the Registrant ? Filed by a Party other than the Registrant ? Check the appropriate box: ? Preliminary Proxy Statement ? Confidential, for Use of the Commission Only (as permitted by Rule 14a-6(e)(2)) ? Defi

March 18, 2022 EX-99.3

SURGALIGN HOLDINGS, INC. AND SUBSIDIARIES Unaudited Pro Forma Condensed Combined Financial Statement of Operations For the Twelve Months Ended December 31, 2021 and September 30, 2021 (In thousands, except share and per share data) 12/31/2021 Surgali

Exhibit 99.3 SURGALIGN HOLDINGS, INC. AND SUBSIDIARIES UNAUDITED PRO FORMA CONDENSED COMBINED FINANCIAL INFORMATION On December 30, 2021, Surgalign Holdings, Inc. (?Surgalign? or the ?Company?) entered into and closed on a Stock Purchase Agreement with Dearborn Capital Management LLC, and Neva, LLC, a Delaware limited liability company (collectively the Sellers of Inteneural Networks, Inc. (?Inten

March 18, 2022 EX-99.1

Inteneural Networks Inc. and Subsidiary Consolidated Financial Statements December 31, 2020 and 2019

Exhibit 99.1 Inteneural Networks Inc. and Subsidiary Consolidated Financial Statements December 31, 2020 and 2019 Inteneural Networks Inc. and Subsidiary Table of Contents December 31, 2020 and 2019 Page Independent Auditors? Report 1 Consolidated Financial Statements Consolidated Balance Sheets 3 Consolidated Statements of Operations 4 Consolidated Statements of Stockholders? Equity 5 Consolidate

March 18, 2022 EX-99.2

Inteneural Networks Inc and Subsidiary Consolidated Financial Statements September 30, 2021 and 2020

Exhibit 99.2 Inteneural Networks Inc and Subsidiary Consolidated Financial Statements September 30, 2021 and 2020 Inteneural Networks Inc and Subsidiary Table of Contents September 30, 2021 and 2020 Page Independent Auditor?s Review Report 1 Consolidated Financial Statements Consolidated Balance Sheets 2 Consolidated Statements of Operations 3 Consolidated Statements of Stockholders? Equity 4 Cons

March 18, 2022 8-K/A

Financial Statements and Exhibits

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K/A CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) December 30, 2021 SURGALIGN HOLDINGS, INC.

March 15, 2022 EX-99.1

Surgalign Holdings, Inc. Announces Fourth Quarter and Full Year 2021 Results

Surgalign Holdings, Inc. Announces Fourth Quarter and Full Year 2021 Results Deerfield, Ill., March 15, 2022 ? Surgalign Holdings, Inc., (NASDAQ: SRGA) a global medical technology company focused on elevating the standard of care by driving the evolution of digital surgery, today reported operating results for the fourth quarter and full year 2021. Recent Highlights: ?Total global spine revenue of

March 15, 2022 EX-4.7

Description of Securities

EXHIBIT 4.7 DESCRIPTION OF REGISTRANT?S SECURITIES REGISTERED PURSUANT TO SECTION 12 OF THE SECURITIES EXCHANGE ACT OF 1934 The following is a brief description of the common stock, par value $0.001 per share (the ?Common Stock?), of Surgalign Holdings, Inc. (?Surgalign,? the ?Company,? ?we,? ?us? or ?our?), which is the only security of the Company registered pursuant to Section 12 of the Securit

March 15, 2022 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) March 15, 2022 SURGALIGN HOLDINGS, INC.

March 15, 2022 EX-10.23

Employment Agreement between the Company and Enrico Sangiorgio dated

Exhibit 10.23 INVOLUNTARY TERMINATION AGREEMENT THIS INVOLUNTARY TERMINATION AGREEMENT (this "Agreement") is entered into effective as of January 13, 2020 (the "Effective Date"), by and between RTI Surgical Holdings, Inc., a Delaware corporation (the "Company"), and Enrico Sangiorgio (the "Executive"). 1.Definitions. As used in this Agreement, the following terms have the respective meanings set f

March 15, 2022 EX-10.24

Employment Agreement between the Company and Christopher Thunander dated

Exhibit 10.24 EMPLOYMENT AGREEMENT THIS EMPLOYMENT AGREEMENT (the ?Agreement?), made this 7th day of October, 2021 (the ?Effective Date?), is entered into among Chris Thunander (?Executive?), and Surgalign Spine Technologies, Inc., a Delaware corporation (the ?Company?). 1.Commencement. This Agreement shall govern Executive?s employment by the Company, effective as of September 23, 2021 (the ?Comm

March 15, 2022 EX-10.27

Seller Note Agreement, dated as of December 30, 2021, by and between Surgalign Holdings, Inc. and Neva, LLC.

Exhibit 10.27 EXECUTION VERSION UNSECURED SELLER NOTE December 30, 2021 $5,305,787.16 FOR VALUE RECEIVED, the undersigned SURGALIGN HOLDINGS, INC., a Delaware Corporation (?Payor?), hereby promises to pay to NEVA, LLC, a Delaware limited liability company (?Holder?), on the Maturity Date, the principal sum of five million three hundred five thousand seven hundred eighty-seven and sixteen hundredth

March 15, 2022 EX-10.26

Seller Note Agreement, dated as of December 30, 2021, by and between Surgalign Holdings, Inc. and Dearborn Capital Management, LLC.

Exhibit 10.26 EXECUTION VERSION UNSECURED SELLER NOTE December 30, 2021 $5,305,787.16 FOR VALUE RECEIVED, the undersigned SURGALIGN HOLDINGS, INC., a Delaware Corporation (?Payor?), hereby promises to pay to DEARBORN CAPITAL MANAGEMENT LLC, a Delaware limited liability company (?Holder?), on the Maturity Date, the principal sum of five million three hundred five thousand seven hundred eighty-seven

March 15, 2022 10-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K ? ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 For the fiscal year ended December 31, 2021 or ? TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period fromto Commission file number 001-38832 Surgalign Holdings, Inc. (E

March 15, 2022 EX-10.25

Employment Agreement between the Company and David Lyle dated March 1, 2022.

Exhibit 10.25 EMPLOYMENT AGREEMENT THIS EMPLOYMENT AGREEMENT (the ?Agreement?), made this 1 day of March, 2022 (the ?Effective Date?), is entered into among David Lyle (?Executive?), and Surgalign Holdings, Inc., a Delaware corporation (the ?Company?). 1.Commencement. This Agreement shall govern Executive?s employment by the Company, which shall begin on March 7, 2022, or such other date mutually

March 15, 2022 EX-21.1

Subsidiaries of the Registrant

Exhibit 21.1 NAME OF SUBSIDIARY JURISDICTION OF INCORPORATION U.S. Subsidiaries Surgalign Spine Technologies, Inc. Delaware Regeneration Technologies, Inc.?Cardiovascular Alabama RTI Services, Inc. Delaware Tutogen Medical, Inc. Florida Pioneer Surgical Technology, Inc. Michigan Angstrom Acquisition Corp. II Delaware Pioneer Surgical Orthobiologics, Inc. Delaware Zyga Technology, Inc. Delaware Par

March 7, 2022 8-K

Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers, Financial Statements and Exhibits

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): March 7, 2022 SURGALIGN HOLDINGS, INC.

March 7, 2022 EX-99.1

# # #

Exhibit 99.1 Investor and Media Contact: Mike Vallie [email protected] +1 443 213 0499 Surgalign Announces Appointment of David Lyle as Chief Financial Officer DEERFIELD, Ill., March 7, 2022 ? Surgalign Holdings, Inc. (NASDAQ: SRGA) (?Surgalign?), a global medical technology company focused on elevating the standard of care by driving the evolution of digital health, today announced the appointment

February 15, 2022 EX-1.1

Underwriting Agreement, dated February 10, 2022, between Surgalign Holdings, Inc. and H.C. Wainwright & Co., LLC

EX-1.1 2 d316447dex11.htm EX-1.1 Exhibit 1.1 EXECUTION VERSION 38,565,220 SHARES OF COMMON STOCK PRE-FUNDED WARRANTS TO PURCHASE 4,913,044 SHARES OF COMMON STOCK AND WARRANTS TO PURCHASE 32,608,698 SHARES OF COMMON STOCK SURGALIGN HOLDINGS, INC. UNDERWRITING AGREEMENT February 10, 2022 H.C. Wainwright & Co., LLC 430 Park Avenue, 3rd Floor New York, NY 10022 Ladies and Gentlemen: Surgalign Holdings

February 15, 2022 EX-4.3

Form of Underwriter Warrant.

Exhibit 4.3 UNDERWRITER COMMON STOCK PURCHASE WARRANT SURGALIGN HOLDINGS, INC. Warrant Shares: Issue Date: February 15, 2022 Initial Exercise Date: February 15, 2022 THIS UNDERWRITER COMMON STOCK PURCHASE WARRANT (this ?Warrant?) certifies that, for value received, or its assigns (the ?Holder?) is entitled, upon the terms and subject to the limitations on exercise and the conditions hereinafter se

February 15, 2022 8-K

Entry into a Material Definitive Agreement, Financial Statements and Exhibits

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): February 10, 2022 SURGALIGN HOLDINGS, INC.

February 15, 2022 EX-4.2

Form of Pre-Funded Warrant.

Exhibit 4.2 PRE-FUNDED COMMON STOCK PURCHASE WARRANT SURGALIGN HOLDINGS, INC. Warrant Shares: Issue Date: February 15, 2022 Initial Exercise Date: February 15, 2022 THIS PRE-FUNDED COMMON STOCK PURCHASE WARRANT (this ?Warrant?) certifies that, for value received, or its assigns (the ?Holder?) is entitled, upon the terms and subject to the limitations on exercise and the conditions hereinafter set

February 15, 2022 EX-4.1

Form of Warrant.

Exhibit 4.1 COMMON STOCK PURCHASE WARRANT SURGALIGN HOLDINGS, INC. Warrant Shares: Issue Date: February 15, 2022 Initial Exercise Date: February 15, 2022 THIS COMMON STOCK PURCHASE WARRANT (this ?Warrant?) certifies that, for value received, or its assigns (the ?Holder?) is entitled, upon the terms and subject to the limitations on exercise and the conditions hereinafter set forth, at any time on

February 11, 2022 424B5

SURGALIGN HOLDINGS, INC. 38,565,220 Shares of Common Stock Warrants to Purchase up to 32,608,698 Shares of Common Stock Pre-Funded Warrants to Purchase up to 4,913,044 Shares of Common Stock Underwriter Warrants to Purchase up to 2,608,696 Shares of

Table of Contents Filed Pursuant to Rule 424(b)(5) Registration Statement No. 333-259893 Prospectus Supplement (To Prospectus dated December 28, 2021) SURGALIGN HOLDINGS, INC. 38,565,220 Shares of Common Stock Warrants to Purchase up to 32,608,698 Shares of Common Stock Pre-Funded Warrants to Purchase up to 4,913,044 Shares of Common Stock Underwriter Warrants to Purchase up to 2,608,696 Shares of

February 10, 2022 424B5

Subject to Completion Preliminary Prospectus Supplement dated February 10, 2022

Table of Contents Filed Pursuant to Rule 424(b)(5) Registration Statement No. 333-259893 The information in this preliminary prospectus supplement is not complete and may be changed. This preliminary prospectus supplement and the accompanying prospectus are not an offer to sell these securities and they are not soliciting an offer to buy these securities in any jurisdiction where the offer or sale

February 8, 2022 SC 13G/A

SRGA / Surgalign Holdings, Inc. / DIMENSIONAL FUND ADVISORS LP - SEC SCHEDULE 13G Passive Investment

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 1 )* Surgalign Holdings Inc (Name of Issuer) Common Stock (Title of Class of Securities) 86882C105 (CUSIP Number) December 31, 2021 (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this

February 4, 2022 SC 13D/A

SRGA / Surgalign Holdings, Inc. / Lewicki Pawel Activist Investment

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D Under the Securities Exchange Act of 1934 (Amendment No. 2)* Surgalign Holdings, Inc. (Name of Issuer) Common Stock, par value $0.001 per share (Title of Class of Securities) 86882C105 (CUSIP Number) Pawel Lewicki 296 Woodward Blvd. Tulsa, Oklahoma 74114 (918) 513-2636 (Name, Address and Telephone Number of Person

February 4, 2022 SC 13G/A

SRGA / Surgalign Holdings, Inc. / Wellington Trust Company, National Association Multiple Common Trust Funds Trust, Micro Cap Equity Portfolio - SEC SCHEDULE 13G Passive Investment

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 2 )* SURGALIGN HOLDINGS, INC. (Name of Issuer) Common Stock (Title of Class of Securities) 86882C105 (CUSIP Number) December 31, 2021 (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which th

February 4, 2022 SC 13G/A

SRGA / Surgalign Holdings, Inc. / WELLINGTON TRUST Co N A - SEC SCHEDULE 13G Passive Investment

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 1 )* SURGALIGN HOLDINGS, INC. (Name of Issuer) Common Stock (Title of Class of Securities) 86882C105 (CUSIP Number) December 31, 2021 (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which th

February 4, 2022 SC 13G/A

SRGA / Surgalign Holdings, Inc. / WELLINGTON MANAGEMENT GROUP LLP - SEC SCHEDULE 13G Passive Investment

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 1 )* SURGALIGN HOLDINGS, INC. (Name of Issuer) Common Stock (Title of Class of Securities) 86882C105 (CUSIP Number) December 31, 2021 (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which th

February 4, 2022 SC 13D

SRGA / Surgalign Holdings, Inc. / Siemionow Krzysztof Activist Investment

SC 13D 1 formsc13d.htm UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D Under the Securities Exchange Act of 1934 (Amendment No. )* Surgalign Holdings, Inc. (Name of Issuer) Common Stock, par value $0.001 per share (Title of Class of Securities) 86882C105 (CUSIP Number) Krzysztof Siemionow 3608 Stewart Avenue Miami, Florida 33133 (216) 410-1829 (Name, Address an

January 27, 2022 8-K

Regulation FD Disclosure

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): January 24, 2022 SURGALIGN HOLDINGS, INC.

January 18, 2022 8-K

Regulation FD Disclosure, Financial Statements and Exhibits, Results of Operations and Financial Condition, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) January 12, 2022 SURGALIGN HOLDINGS, INC.

January 18, 2022 EX-99.2

SECOND AMENDMENT TO STOCK PURCHASE AGREEMENT

Exhibit 99.2 EXECUTION VERSION SECOND AMENDMENT TO STOCK PURCHASE AGREEMENT This SECOND AMENDMENT TO STOCK PURCHASE AGREEMENT (this ?Amendment?) dated January 12, 2022 is by and among Surgalign Holdings, Inc., a Delaware Corporation (?Buyer?), Roboticine, Inc, a Delaware corporation (?Seller?), Holo Surgical S.A., a Polish joint-stock company (?Holo S.A.?), Pawel Lewicki, PhD (?Lewicki?) and Krzys

January 18, 2022 EX-99.1

Surgalign Receives FDA Clearance for HOLO Portal

Exhibit 99.1 Surgalign Receives FDA Clearance for HOLO Portal? System, the World?s First AI-driven AR Guidance System for Spine Surgery and Reports Preliminary Fourth Quarter and Full Year 2021 Results Clearance is for use in the lumbar portion of the $5 billion instrumented fusion market* DEERFIELD, Ill., Jan. 18, 2022 ? Surgalign Holdings, Inc., (NASDAQ: SRGA) a global medical technology company

January 5, 2022 EX-99.1

Artificial Intelligence Technology Will Enable Computers to Autonomously Identify and Segment Neural Structures in Medical Images and Provide Reference Information Regarding Pathological States

Exhibit 99.1 Surgalign Holdings, Inc. Expands Digital Health Capabilities with Acquisition of a Significant Equity Interest in Inteneural Networks Inc. Artificial Intelligence Technology Will Enable Computers to Autonomously Identify and Segment Neural Structures in Medical Images and Provide Reference Information Regarding Pathological States Deerfield, Ill., Jan. 05, 2022 ? Surgalign Holdings, I

January 5, 2022 8-K

Regulation FD Disclosure, Entry into a Material Definitive Agreement, Unregistered Sales of Equity Securities, Financial Statements and Exhibits, Creation of a Direct Financial Obligation or an Obligation under an Off-Balance Sheet Arrangement of a Registrant, Completion of Acquisition or Disposition of Assets

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) December 30, 2021 SURGALIGN HOLDINGS, INC.

January 5, 2022 EX-10.1

Intellectual Property License Agreement, dated as of December 30, 3021, by and between Inteneural Networks Inc. and Holo Surgical Inc.

Exhibit 10.1 EXECUTION VERSION In accordance with Item 601(b)(10)(iv) of Regulation S-K, certain information contained in this document, marked by brackets as [**], has been omitted because it is both not material and is the type that the registrant treats as private or confidential. In addition, in accordance with Item 601(a)(6) of Regulation S-K, certain personally identifiable information conta

January 5, 2022 EX-2.1

Stock Purchase Agreement, dated as of December 30, 2021, by and between Surgalign Holdings, Inc., Inteneural Networks Inc., Dearborn Capital management LLC, Neva, LLC, Krzysztof Siemionow and Pawel Lewicki

Exhibit 2.1 EXECUTION VERSION In accordance with Item 601(b)(10)(iv) of Regulation S-K, certain information contained in this document, marked by brackets as [**], has been omitted because it is both not material and is the type that the registrant treats as private or confidential. In addition, in accordance with Item 601(a)(6) of Regulation S-K, certain personally identifiable information contai

January 5, 2022 EX-10.3

Unsecured Seller Note, dated as of December 30, 2021, by and between Surgalign Holdings, Inc. and Dearborn Capital Management LLC

EX-10.3 5 d83845dex103.htm EX-10.3 Exhibit 10.3 EXECUTION VERSION UNSECURED SELLER NOTE December 30, 2021 $5,305,787.16 FOR VALUE RECEIVED, the undersigned SURGALIGN HOLDINGS, INC., a Delaware Corporation (“Payor”), hereby promises to pay to DEARBORN CAPITAL MANAGEMENT LLC, a Delaware limited liability company (“Holder”), on the Maturity Date, the principal sum of five million three hundred five t

January 5, 2022 EX-10.2

Unsecured Seller Note, dated as of December 30, 2021, by and between Surgalign Holdings, Inc. and Neva, LLC

Exhibit 10.2 EXECUTION VERSION UNSECURED SELLER NOTE December 30, 2021 $5,305,787.16 FOR VALUE RECEIVED, the undersigned SURGALIGN HOLDINGS, INC., a Delaware Corporation (?Payor?), hereby promises to pay to NEVA, LLC, a Delaware limited liability company (?Holder?), on the Maturity Date, the principal sum of five million three hundred five thousand seven hundred eighty-seven and sixteen hundredths

December 27, 2021 8-K

Notice of Delisting or Failure to Satisfy a Continued Listing Rule or Standard; Transfer of Listing

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) December 23, 2021 SURGALIGN HOLDINGS, INC.

December 23, 2021 CORRESP

Surgalign Holdings, Inc. 520 Lake Cook Road, Suite 315 Deerfield, Illinois 60015 December 23, 2021

Surgalign Holdings, Inc. 520 Lake Cook Road, Suite 315 Deerfield, Illinois 60015 December 23, 2021 VIA EDGAR U.S. Securities and Exchange Commission Division of Corporation Finance Office of Life Sciences 100 F Street, N.E. Washington, D.C. 20549 Attention: Jeffrey Gabor Re: Surgalign Holdings, Inc. Registration Statement on Form S-3 (File No. 333-259893) Ladies and Gentlemen: Pursuant to Rule 461

December 23, 2021 S-3/A

Form S-3

Table of Contents As filed with the Securities and Exchange Commission on December 23, 2021 Registration No.

December 17, 2021 8-K

Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) December 14, 2021 SURGALIGN HOLDINGS, INC.

November 9, 2021 EX-99.1

Surgalign Holdings, Inc. Announces Third Quarter 2021 Results

EX-99.1 2 a2021thirdquarter2021press.htm EX-99.1 Surgalign Holdings, Inc. Announces Third Quarter 2021 Results Deerfield, Ill., November 9, 2021 – Surgalign Holdings, Inc., (NASDAQ: SRGA) a global medical technology company focused on elevating the standard of care by driving the evolution of digital surgery, today reported operating results for the third quarter of 2021. Highlights: •Total global

November 9, 2021 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) x QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended September 30, 2021 OR o TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to Commission file number 001-38832 SURGAL

November 9, 2021 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) November 9, 2021 SURGALIGN HOLDINGS, INC.

November 5, 2021 CORRESP

November 5, 2021

November 5, 2021 United States Securities and Exchange Commission Division of Corporate Finance Office of Life Sciences Attention: Eric Atallah and Mary Mast Re: Surgalign Holdings, Inc.

October 8, 2021 CORRESP

September 24, 2021

CORRESP 1 filename1.htm September 24, 2021 United States Securities and Exchange Commission Division of Corporate Finance Office of Life Sciences Attention: Eric Atallah and Mary Mast Re: Surgalign Holdings, Inc. Form 10-K for the Fiscal Year Ended December 31, 2020 Filed: March 16, 2021 File No. 001-38832 Form 10-Q for the Quarterly Period Ended March 31, 2021 Filed: May 10, 2021 File No. 001-388

October 5, 2021 EX-99.2

UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF ILLINOIS EASTERN DIVISION In re RTI Surgical Derivative Litigation Master File No.: 1:20-CV-3347 (MFK) Judge: Hon. Matthew F. Kennelly Magistrate: Hon. Beth Jantz STIPULATION OF SETTLEMENT

Exhibit 99.2 UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF ILLINOIS EASTERN DIVISION In re RTI Surgical Derivative Litigation Master File No.: 1:20-CV-3347 (MFK) Judge: Hon. Matthew F. Kennelly Magistrate: Hon. Beth Jantz STIPULATION OF SETTLEMENT This Stipulation of Settlement, dated September 10, 2021 (?Stipulation? or ?Settlement?), is made and entered into by and among the following partie

October 5, 2021 8-K

Regulation FD Disclosure, Financial Statements and Exhibits

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) September 30, 2021 SURGALIGN HOLDINGS, INC.

October 5, 2021 EX-99.1

UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF ILLINOIS EASTERN DIVISION In re RTI Surgical Derivative Litigation Master File No.: 1:20-CV-3347 (MFK) Judge: Hon. Matthew F. Kennelly Magistrate: Hon. Beth Jantz NOTICE OF PROPOSED DERIVATIVE SETTLEM

EX-99.1 2 d241309dex991.htm EX-99.1 Exhibit 99.1 UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF ILLINOIS EASTERN DIVISION In re RTI Surgical Derivative Litigation Master File No.: 1:20-CV-3347 (MFK) Judge: Hon. Matthew F. Kennelly Magistrate: Hon. Beth Jantz NOTICE OF PROPOSED DERIVATIVE SETTLEMENT TO: ALL RECORD HOLDERS AND BENEFICIAL OWNERS OF THE COMMON STOCK OF SURGALIGN HOLDINGS, INC. (“SU

September 29, 2021 EX-4.9

Form of Indenture

Exhibit 4.9 SURGALIGN HOLDINGS, INC. and [ ] as Trustee Guaranteed to the extent set forth in the Guarantees by the Guarantors named in this Indenture. INDENTURE dated as of TABLE OF CONTENTS Page ARTICLE 1 DEFINITIONS AND INCORPORATION BY REFERENCE 1 Section 1.01 Certain Definitions 1 Section 1.02 Other Definitions 4 Section 1.03 Incorporation by Reference of Trust Indenture Act 4 Section 1.04 Ru

September 29, 2021 S-3

As filed with the Securities and Exchange Commission on September 29, 2021 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM S-3 REGISTRATION STATEMENT THE SECURITIES ACT OF 1933 SURGALIGN HOLDINGS, INC. (Exact name of regi

Table of Contents As filed with the Securities and Exchange Commission on September 29, 2021 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.

September 24, 2021 10-Q/A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q/A Amendment No. 1

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q/A Amendment No. 1 (Mark One) ? QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended March 31, 2021 OR ? TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to Commission file number 00

September 24, 2021 10-K/A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K/A Amendment No. 1

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K/A Amendment No. 1 ? ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 For the fiscal year ended December 31, 2020 or ? TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to Commission file number 001-38832 Surgalig

September 23, 2021 8-K

Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) September 22, 2021 SURGALIGN HOLDINGS, INC.

September 15, 2021 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) September 10, 2021 SURGALIGN HOLDING

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) September 10, 2021 SURGALIGN HOLDINGS, INC.

August 6, 2021 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) August 6, 2021 SURGALIGN HOLDINGS, INC.

August 6, 2021 EX-10.6

Form of Non Qualified Stock Option (2021 Incentive Plan)

Exhibit 10.6 SURGALIGN HOLDINGS, INC. NONQUALIFIED STOCK OPTION AGREEMENT 1.Grant of Option. SURGALIGN HOLDINGS, INC., a Delaware corporation (the ?Company?) hereby grants, as of [?] (?Date of Grant?), to [?] (the ?Optionee?) an option (the ?Option?) to purchase up to [?] shares of the Company?s common stock (the ?Shares?), at an exercise price per share equal to $[?] (the ?Exercise Price?). The O

August 6, 2021 EX-99.1

SURGALIGN HOLDINGS, INC. AND SUBSIDIARIES Condensed Consolidated Statements of Operations (Unaudited, in thousands, except share and per share data) For the Three Months Ended June 30, For the Six Months Ended June 30, 2021 2020 2021 2020 Revenues $

Exhibit 99.1 Surgalign Holdings, Inc. Announces Second Quarter 2021 Results Deerfield, Ill., August 6, 2021 ? Surgalign Holdings, Inc., (NASDAQ: SRGA) a global medical technology company focused on elevating the standard of care by driving the evolution of digital surgery, today reported operating results for the second quarter of 2021. Highlights: ? Total global spine revenue of $24.8 million, co

August 6, 2021 EX-10.5

Form of Restricted Stock Unit (2021 Incentive Plan)

Exhibit 10.5 SURGALIGN HOLDINGS, INC. RESTRICTED STOCK UNIT AGREEMENT 1.Award of Restricted Stock Units. SURGALIGN HOLDINGS, INC., a Delaware corporation (the ?Company?) hereby grants, as of [?] (the ?Date of Grant?), to [?] (the ?Recipient?), [?] Restricted Stock Units (collectively the ?Restricted Stock Units?). The Restricted Stock Units shall be subject to the terms, provisions and restriction

August 6, 2021 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) ? QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended June 30, 2021 OR ? TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to Commission file number 001-38832 SURGALIGN H

July 30, 2021 8-K

Regulation FD Disclosure

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) July 29, 2021 (July 27, 2021) SURGALIGN HOLDINGS, INC.

June 11, 2021 EX-99.1

Surgalign Holdings, Inc. Announces $50 Million Registered Direct Offering Priced

Exhibit 99.1 Surgalign Holdings, Inc. Announces $50 Million Registered Direct Offering Priced At-The-Market under Nasdaq Rules Deerfield, Ill., June 10, 2021 ? Surgalign Holdings, Inc. (?Surgalign?) (NASDAQ: SRGA), a global medical technology company focused on elevating the standard of care through the evolution of digital surgery, today announced that it has entered into a definitive securities

June 11, 2021 8-K

Entry into a Material Definitive Agreement, Financial Statements and Exhibits

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): June 9, 2021 SURGALIGN HOLDINGS, INC.

June 11, 2021 EX-10.1

Form of Securities Purchase Agreement, dated as of June 9, 2021, by and among Surgalign Holdings, Inc. and the investors party thereto.

EX-10.1 5 d148413dex101.htm EX-10.1 Exhibit 10.1 SECURITIES PURCHASE AGREEMENT This Securities Purchase Agreement (this “Agreement”) is dated as of June 9, 2021, between Surgalign Holdings, Inc., a Delaware corporation (the “Company”), and each purchaser identified on the signature pages hereto (each, including its successors and assigns, a “Purchaser” and collectively the “Purchasers”). WHEREAS,

June 11, 2021 424B5

SURGALIGN HOLDINGS, INC. 28,985,508 Shares of Common Stock Warrants to Purchase 28,985,508 shares of Common Stock Placement Agent Warrants to Purchase 1,739,130 shares of Common Stock (and the shares of Common Stock underlying such Warrants and Place

Table of Contents Filed Pursuant to Rule 424(b)(5) Registration Statement No. 333-231719 PROSPECTUS SUPPLEMENT (To Prospectus dated June 14, 2019) SURGALIGN HOLDINGS, INC. 28,985,508 Shares of Common Stock Warrants to Purchase 28,985,508 shares of Common Stock Placement Agent Warrants to Purchase 1,739,130 shares of Common Stock (and the shares of Common Stock underlying such Warrants and Placemen

June 11, 2021 EX-4.2

Form of Placement Agent Warrant.

Exhibit 4.2 PLACEMENT AGENT COMMON STOCK PURCHASE WARRANT SURGALIGN HOLDINGS, INC. Warrant Shares: Issue Date: June 14, 2021 Initial Exercise Date: June 14, 2021 THIS PLACEMENT AGENT COMMON STOCK PURCHASE WARRANT (the ?Warrant?) certifies that, for value received, or its assigns (the ?Holder?) is entitled, upon the terms and subject to the limitations on exercise and the conditions hereinafter set

June 11, 2021 EX-4.1

Form of Warrant.

Exhibit 4.1 COMMON STOCK PURCHASE WARRANT SURGALIGN HOLDINGS, INC. Warrant Shares: Issue Date: June 14, 2021 Initial Exercise Date: June 14, 2021 THIS COMMON STOCK PURCHASE WARRANT (the ?Warrant?) certifies that, for value received, or its assigns (the ?Holder?) is entitled, upon the terms and subject to the limitations on exercise and the conditions hereinafter set forth, at any time on or after

June 4, 2021 8-K

Changes in Registrant's Certifying Accountant, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) June 4, 2021 (April 30, 2021) SURGALIGN HOLDINGS, INC.

May 10, 2021 EX-3.2

Second Certificate of Amendment to Amended and Restated Certificate of Incorporation of the Company, effective as of May 4, 2021

Exhibit 3.2 SECOND CERTIFICATE OF AMENDMENT TO AMENDED AND RESTATED CERTIFICATE OF INCORPORATION OF SURGALIGN HOLDINGS, INC. Surgalign Holdings, Inc., a corporation organized and existing under and by virtue of the General Corporation Law of the State of Delaware (the ?Corporation?), does hereby certify: FIRST: That on March 10, 2021, the board of directors of the Corporation (the ?Board of Direct

May 10, 2021 EX-3.1

Amended and Restated Bylaws of Surgalign Holdings, Inc., adopted on November 13, 2020

Exhibit 3.1 AMENDED AND RESTATED BYLAWS OF SURGALIGN HOLDINGS, INC. Effective November 13, 2020 ARTICLE I OFFICES SECTION 1.01 REGISTERED OFFICE. The registered office of the corporation in the State of Delaware shall be in the City of Dover, County of Kent, and the name of its registered agent shall be United Corporate Services, Inc. SECTION 1.02 OTHER OFFICES. The corporation may also have offic

May 10, 2021 10-Q

Quarterly Report - 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) ? QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended March 31, 2021 OR ? TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to Commission file number 001-38832 SURGALIGN

May 10, 2021 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) May 10, 2021 SURGALIGN HOLDINGS, INC.

May 10, 2021 EX-99.1

SURGALIGN HOLDINGS, INC. AND SUBSIDIARIES Condensed Consolidated Statements of Operations (Unaudited, in thousands, except share and per share data) For the Three Months Ended March 31, 2021 2020 Revenues $ 23,291 $ 27,102 Cost of goods sold 6,238 9,

Exhibit 99.1 Surgalign Holdings, Inc. Announces First Quarter 2021 Results Deerfield, Ill., May 10, 2021 ? Surgalign Spine Technologies, (NASDAQ: SRGA) a global medical technology company focused on elevating the standard of care by driving the evolution of digital surgery, today reported operating results for the first quarter of 2021. Highlights: ? Total global spine revenue of $23.3 million, co

May 10, 2021 EX-10.1

Lease by and between SNH Medical Office Properties Trust and Surgalign Spine Technologies, Inc., dated March 12, 2021. #

Exhibit 10.1 LEASE BY AND BETWEEN SNH MEDICAL OFFICE PROPERTIES TRUST LANDLORD AND SURGALIGN SPINE TECHNOLOGIES, INC. TENANT 3030 SCIENCE PARK ROAD SAN DIEGO, CALIFORNIA TABLE OF CONTENTS Page Article 1 Reference Data 1 1.1 Introduction and Subjects Referred To 1 1.2 Exhibits 4 Article 2 Premises and Term 4 2.1 Premises 4 2.2 Term 4 2.3 Extension Option 5 2.4 Measurement of the Premises 7 2.5 CASp

May 7, 2021 EX-99.2

Surgalign Holdings, Inc. 2021 Inducement Plan.

Exhibit 99.2 Surgalign Holdings, Inc. 2021 Inducement Plan SURGALIGN HOLDINGS, INC. 2021 INDUCEMENT PLAN 1. PURPOSE OF PLAN The purpose of this Surgalign Holdings, Inc. 2021 Inducement Plan (this ?Plan?) of Surgalign Holdings, Inc., a Delaware corporation (the ?Company?), is to advance the interests of the Company by providing a material inducement for the best available individuals to join the Co

May 7, 2021 S-8

- FORM S-8

As filed with the Securities and Exchange Commission on May 7, 2021 Registration No.

May 7, 2021 EX-99.1

Surgalign Holdings, Inc. 2021 Incentive Plan.

EXHIBIT 99.1 Surgalign Holdings, Inc. 2021 Incentive Compensation Plan SURGALIGN HOLDINGS, INC. 2021 INCENTIVE COMPENSATION PLAN 1. Purpose. The purpose of this Surgalign Holdings, Inc. 2021 Incentive Compensation Plan (the ?Plan?) is to assist Surgalign Holdings, Inc., a Delaware corporation (the ?Company?) and its Related Entities (as hereinafter defined) in attracting, motivating, retaining and

May 7, 2021 S-8

- FORM S-8

As filed with the Securities and Exchange Commission on May 7, 2021 Registration No.

May 7, 2021 EX-99.1

Surgalign Holdings, Inc. Employee Stock Purchase Plan.

EXHIBIT 99.1 Surgalign Holdings, Inc. Employee Stock Purchase Plan SURGALIGN HOLDINGS, INC. EMPLOYEE STOCK PURCHASE PLAN 1. Purpose. The purpose of the Plan is to provide Employees with opportunities to purchase common stock of the Company at a discounted purchase price, thereby encouraging increased efforts to promote the interests of the Company and its stockholders. It is the intention of the C

May 5, 2021 8-K

Other Events, Submission of Matters to a Vote of Security Holders

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) May 5, 2021 (May 4, 2021) SURGALIGN HOLDINGS, INC.

April 23, 2021 8-K

Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) April 23, 2021 (April 21, 2021) SURGALIGN HOLDINGS, INC.

April 21, 2021 SC 13D/A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D Under the Securities Exchange Act of 1934 (Amendment No. 1)* Surgalign Holdings, Inc. (Name of Issuer) Common Stock, par value $0.001 per share (Title of Class of Se

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D Under the Securities Exchange Act of 1934 (Amendment No. 1)* Surgalign Holdings, Inc. (Name of Issuer) Common Stock, par value $0.001 per share (Title of Class of Securities) 86882C105 (CUSIP Number) Pawel Lewicki 296 Woodward Blvd. Tulsa, Oklahoma 74114 (918) 513-2636 (Name, Address and Telephone Number of Person

April 8, 2021 DEFA14A

- DEFA14A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A PROXY STATEMENT PURSUANT TO SECTION 14(A) OF THE SECURITIES EXCHANGE ACT OF 1934 (Amendment No. ) Filed by the Registrant ? Filed by a party other than the Registrant ? Check the appropriate box: ? Preliminary Proxy Statement ? Confidential, for Use of the Commission Only (as permitted by Rule 14a-6(e)(2)) ? Defin

April 8, 2021 EX-16.1

Letter to the SEC from Deloitte, dated April 8, 2021.

Exhibit 16.1 April 8, 2021 Securities and Exchange Commission 100 F Street, N.E. Washington, D.C. 20549-7561 Dear Sirs/Madams: We have read Item 4.01 of Surgalign Holdings, Inc.?s Form 8-K dated April 8, 2021, and we agree with the statements made therein. Yours truly, /s/ Deloitte & Touche LLP Chicago, Illinois

April 8, 2021 8-K

Financial Statements and Exhibits, Changes in Registrant's Certifying Accountant

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) April 8, 2021 (April 5, 2021) SURGALIGN HOLDINGS, INC.

April 1, 2021 DEF 14A

Definitive Proxy Statement on Schedule 14A

Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A PROXY STATEMENT PURSUANT TO SECTION 14(a) OF THE SECURITIES EXCHANGE ACT OF 1934 Filed by the Registrant ? Filed by a Party other than the Registrant ? Check the appropriate box: ? Preliminary Proxy Statement ? Confidential, for Use of the Commission Only (as permitted by Rule 14a-6(e)(2)) ? Defi

March 22, 2021 PRE 14A

- PRE 14A

Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A PROXY STATEMENT PURSUANT TO SECTION 14(a) OF THE SECURITIES EXCHANGE ACT OF 1934 Filed by the Registrant ? Filed by a Party other than the Registrant ? Check the appropriate box: ? Preliminary Proxy Statement ? Confidential, for Use of the Commission Only (as permitted by Rule 14a-6(e)(2)) ? Defi

March 18, 2021 8-K

Entry into a Material Definitive Agreement, Creation of a Direct Financial Obligation or an Obligation under an Off-Balance Sheet Arrangement of a Registrant

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) March 18, 2021 (March 15, 2021) SURGALIGN HOLDINGS, INC.

March 16, 2021 EX-10.29

Employment Agreement between the Company and W. Scott Durall dated May 29,

Exhibit 10.29 EMPLOYMENT AGREEMENT THIS EMPLOYMENT AGREEMENT (the ?Agreement?), made this 29th day of May, 2020 (the ?Effective Date?), is entered into among W. Scott Durall (?Executive?), and RTI Surgical, Inc., a Delaware corporation (the ?Company?). 1.Commencement. This Agreement shall govern Executive?s employment by the Company, which shall begin on June 15, 2020, or such other date mutually

March 16, 2021 EX-99.1

SURGALIGN HOLDINGS, INC. AND SUBSIDIARIES Condensed Consolidated Statements of Operations (Unaudited, in thousands, except share and per share data) For the Three Months Ended For the Twelve Months Ended December 31, December 31, 2020 2019 2020 2019

EX-99.1 Exhibit 99.1 Surgalign Holdings, Inc. Announces Fourth Quarter and Full Year 2020 Results and Introduces 2021 Guidance Deerfield, Ill., March 16, 2021 – Surgalign Holdings, Inc. (Nasdaq: SRGA), a global medical technology company focused on advancing spine surgery and improving patient outcomes, including through the application of digital technology, today reported operating results for t

March 16, 2021 EX-21.1

Subsidiaries of the Registrant

Exhibit 21.1 NAME OF SUBSIDIARY JURISDICTION OF INCORPORATION U.S. Subsidiaries Regeneration Technologies, Inc.?Cardiovascular Alabama Biological Recovery Group, Inc. Delaware RTI Services, Inc. Delaware RTI Donor Services, Inc. Delaware Tutogen Medical, Inc. Florida Tutogen Medical (United States), Inc. Florida Pioneer Surgical Technology, Inc. Michigan Angstrom Acquisition Corp. II Delaware Pion

March 16, 2021 10-K

Annual Report - 10-K

Cr UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K ? ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 For the fiscal year ended December 31, 2020 or ? TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to Commission file number 001-38832 Surgalign Holdings, Inc

March 16, 2021 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) March 16, 2021 SURGALIGN HOLDINGS, INC.

March 16, 2021 EX-10.23

Employment Agreement between the Company and Joshua H. DeRienzis dated March 12, 2021

Exhibit 10.23 EMPLOYMENT AGREEMENT THIS EMPLOYMENT AGREEMENT (the ?Agreement?), made this 10th day of March 2021 (the ?Effective Date?), is entered into among Josh DeRienzis (?Executive?), and Surgalign Holdings, Inc., a Delaware corporation (the ?Company?). 1.Commencement. This Agreement shall govern Executive?s employment by the Company effective as of the date written above (the ?Commencement D

March 12, 2021 8-K

Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): March 10, 2021 SURGALIGN HOLDINGS, INC.

March 5, 2021 EX-99.1

Surgalign Holdings, Inc. Announces Date Change for Fourth Quarter and Full Year 2020 Earnings Release and Conference Call

EX-99.1 Exhibit 99.1 Surgalign Holdings, Inc. Announces Date Change for Fourth Quarter and Full Year 2020 Earnings Release and Conference Call Deerfield, Ill., March 5, 2021 – Surgalign Holdings, Inc. (Nasdaq: SRGA), a global medical technology company focused on advancing spine surgery and improving patient outcomes, including through the application of digital technology, today announced that it

March 5, 2021 8-K

Regulation FD Disclosure, Financial Statements and Exhibits

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) March 5, 2021 SURGALIGN HOLDINGS, INC.

February 12, 2021 SC 13G

SCHEDULE 13G

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. )* Surgalign Holdings Inc (Name of Issuer) Common Stock (Title of Class of Securities) 86882C105 (CUSIP Number) December 31, 2020 (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this S

February 12, 2021 8-K

Financial Statements and Exhibits, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): February 12, 2021 SURGALIGN HOLDINGS, INC.

February 12, 2021 SC 13G/A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 1)* Surgalign Holdings, Inc. (Name of Issuer) Common Stock, $0.001 par value (Title of Class of Securities)

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 1)* Surgalign Holdings, Inc. (Name of Issuer) Common Stock, $0.001 par value (Title of Class of Securities) 86882C105 (CUSIP Number) December 31, 2020 (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pur

February 12, 2021 EX-99.1

Surgalign Holdings, Inc. Announces Record Date and Annual Meeting Date

EX-99.1 Exhibit 99.1 Press Release Surgalign Holdings, Inc. Announces Record Date and Annual Meeting Date Deerfield, Ill., February 12, 2021 – Surgalign Holdings, Inc. (Nasdaq: SRGA), a global surgical implant company (the “Company”), today announced that its 2021 Annual Meeting of Stockholders (the “Annual Meeting”) will be held virtually on May 4, 2021 at 9:00 A.M. Central Time. Holders of recor

February 4, 2021 SC 13G

SCHEDULE 13G

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. )* SURGALIGN HOLDINGS, INC. (Name of Issuer) Common Stock (Title of Class of Securities) 86882C105 (CUSIP Number) December 31, 2020 (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this

February 3, 2021 SC 13G/A

SCHEDULE 13G

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 1 )* SURGALIGN HOLDINGS, INC. (Name of Issuer) Common Stock (Title of Class of Securities) 86882C105 (CUSIP Number) December 31, 2020 (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which th

February 3, 2021 SC 13G

SCHEDULE 13G

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. )* SURGALIGN HOLDINGS, INC. (Name of Issuer) Common Stock (Title of Class of Securities) 86882C105 (CUSIP Number) December 31, 2020 (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this

January 29, 2021 424B4

The date of this prospectus is January 27, 2021

Form 424(b)(4) Table of Contents Filed Pursuant to Rule 424(b)(4) Registration No.

January 25, 2021 8-K

Results of Operations and Financial Condition - 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): January 25, 2021 SURGALIGN HOLDINGS, INC.

January 25, 2021 CORRESP

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Piper Sandler & Co. 800 Nicollet Mall Minneapolis, Minnesota 55402 Cantor Fitzgerald & Co. 499 Park Avenue New York, New York 10022 January 25, 2021 VIA EDGAR United States Securities and Exchange Commission Division of Corporation Finance Office of Life Sciences 100 F Street, N.E. Washington, D.C. 20549-6010 Attention: David Gessert Re: Surgalign Holdings, Inc. Registration Statement on Form S-1

January 25, 2021 CORRESP

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Surgalign Holdings, Inc. 520 Lake Cook Road, Suite 315 Deerfield, Illinois 60015 January 25, 2021 VIA EDGAR United States Securities and Exchange Commission Division of Corporation Finance Office of Life Sciences 100 F Street, N.E. Washington, D.C. 20549 Attn: Dave Gessert Re: Surgalign Holdings, Inc. Registration Statement on Form S-1 (Registration No. 333-251828) Ladies and Gentlemen: Reference

January 25, 2021 8-K/A

Other Events - 8-K/A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K/A (Amendment No.

January 25, 2021 EX-1.1

Form of Underwriting Agreement

Exhibit 1.1 [•] Shares1 Surgalign Holdings, Inc. Common Stock UNDERWRITING AGREEMENT January [•], 2021 PIPER SANDLER & CO. CANTOR FITZGERALD & CO. As Representatives of the several Underwriters named in Schedule I hereto c/o Piper Sandler & Co. 800 Nicollet Mall Minneapolis, Minnesota 55402 c/o Cantor Fitzgerald & Co. 499 Park Avenue New York, New York 10022 Ladies and Gentlemen: Surgalign Holding

January 25, 2021 EX-21.1

Subsidiaries of the Registrant

Exhibit 21.1 SUBSIDIARIES OF SURGALIGN HOLDINGS, INC. Subsidiary Jurisdiction of Incorporation or Organization Surgalign Holdings, Inc. Delaware Surgalign Spine Technologies, Inc. Delaware Pioneer Surgical Technology, Inc. Michigan Angstrom Acquisition Corp. II Delaware Pioneer Surgical Orthobiologics, Inc. Delaware RTI Surgical Holdings Luxembourg SARL Luxembourg RTI Surgical Australia Pty. Ltd.

January 25, 2021 S-1/A

- S-1/A

S-1/A Table of Contents As filed with the Securities and Exchange Commission on January 25, 2021 Registration No.

December 30, 2020 EX-99.1

PART I

Exhibit 99.1 Explanatory Statement This Current Report on Form 8-K (including this Exhibit 99.1, the “Form 8-K”) is being filed to reflect certain retrospective revisions for discontinued operations and changes in reportable segments described under the heading “Business” below that have been made to the consolidated financial statements of Surgalign Holdings, Inc. (formerly known as RTI Surgical

December 30, 2020 EX-99.2

Independent Accountants’ Review Report

EX-99.2 Exhibit 99.2 Independent Accountants’ Review Report To the Stockholders and Board of Directors of Holo Surgical Inc. and Subsidiaries We have reviewed the accompanying financial statements of Holo Surgical Inc. and its subsidiaries (the “Company”), which comprise the balance sheets as of September 30, 2020 and 2019 and the related statements of operations, stockholders’ equity, and cash fl

December 30, 2020 8-K/A

Financial Statements and Exhibits - 8-K/A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K/A (Amendment No. 1) CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported): October 23, 2020 SURGALIGN HOLDINGS, INC. (Exact name of registrant as specified in its charter) Delaware 001-38832 83-2540607 (State or other jurisdiction of inco

December 30, 2020 EX-10.23

Involuntary Termination Agreement, dated January 13, 2020, by and between the Company and Joshua H. DeRienzis

EX-10.23 Exhibit 10.23 INVOLUNTARY TERMINATION AGREEMENT THIS INVOLUNTARY TERMINATION AGREEMENT (this “Agreement”) is entered into effective as of January 13, 2020 (the “Effective Date”), by and between RTI Surgical Holdings, Inc., a Delaware corporation (the “Company”), and Joshua H. DeRienzis (the “Executive”). 1. Definitions. As used in this Agreement, the following terms have the respective me

December 30, 2020 EX-99.3

SURGALIGN HOLDINGS, INC. AND SUBSIDIARIES UNAUDITED PRO FORMA CONDENSED COMBINED FINANCIAL INFORMATION

EX-99.3 5 d102898dex993.htm EX-99.3 Exhibit 99.3 SURGALIGN HOLDINGS, INC. AND SUBSIDIARIES UNAUDITED PRO FORMA CONDENSED COMBINED FINANCIAL INFORMATION On October 23, 2020, in connection with the closing (the “Transaction”), Surgalign Holdings, Inc. (“Surgalign” or the “Company”) acquired Holo Surgical Inc. and its subsidiaries (“Holo Surgical”), which became direct wholly owned subsidiaries of th

December 30, 2020 EX-99.1

INDEPENDENT AUDITORS’ REPORT

EX-99.1 3 d102898dex991.htm EX-99.1 Exhibit 99.1 INDEPENDENT AUDITORS’ REPORT To the Stockholders and Board of Directors of Holo Surgical Inc. and Subsidiaries We have audited the accompanying consolidated financial statements of Holo Surgical Inc. and its subsidiaries, which comprise the consolidated balance sheets as of December 31, 2019 and 2018, and the related consolidated statements of opera

December 30, 2020 EX-21.1

Subsidiaries of the Registrant

Exhibit 21.1 SUBSIDIARIES OF SURGALIGN HOLDINGS, INC. Subsidiary Jurisdiction of Incorporation or Organization Surgalign Holdings, Inc. Delaware Surgalign Spine Technologies, Inc. Delaware Pioneer Surgical Technology, Inc. Michigan Angstrom Acquisition Corp. II Delaware Pioneer Surgical Orthobiologics, Inc. Delaware RTI Surgical Holdings Luxembourg SARL Luxembourg RTI Surgical Australia Pty. Ltd.

December 30, 2020 S-1

Powers of Attorney (contained herein on signature page)

Form S-1 Table of Contents As filed with the Securities and Exchange Commission on December 30, 2020 Registration No.

December 30, 2020 8-K

Financial Statements and Exhibits, Other Events - FORM 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) : December 30, 2020 SURGALIGN HOLDINGS, INC. (Exact name of registrant as specified in its charter) Delaware 001-38832 83-2540607 (State or other jurisdiction of incorporation) (Commis

November 23, 2020 8-K

Regulation FD Disclosure, Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers, Entry into a Material Definitive Agreement, Financial Statements and Exhibits - FORM 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) November 23, 2020 SURGALIGN HOLDINGS, INC.

November 23, 2020 EX-99.1

Surgalign Holdings, Inc. Appoints Paul Lewicki, PhD to Board of Directors

EX-99.1 Exhibit 99.1 Surgalign Holdings, Inc. Appoints Paul Lewicki, PhD to Board of Directors November 23, 2020 Jonathon Singer Investor and Media Contact [email protected] +1 224 303 4651 Deerfield, Ill., Nov. 23, 2020 – Surgalign Holdings, Inc. (Nasdaq: SRGA), a global pure-play spine company focused on advancing spine surgery including through the application of digital technologies to imp

November 16, 2020 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) ? QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended September 30, 2020 OR ? TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to Commission file number 001-38832 SURGAL

November 16, 2020 EX-3.1

Amended and Restated Bylaws of the Company, effective as of November 13, 2020

Exhibit 3.1 AMENDED AND RESTATED BYLAWS OF SURGALIGN HOLDINGS, INC. Effective November 13, 2020 ARTICLE I OFFICES SECTION 1.01 REGISTERED OFFICE. The registered office of the corporation in the State of Delaware shall be in the City of Dover, County of Kent, and the name of its registered agent shall be United Corporate Services, Inc. SECTION 1.02 OTHER OFFICES. The corporation may also have offic

November 12, 2020 EX-99.2

Transcript Surgalign Holdings, Inc. (Q3 2020 Results) November 11, 2020

EX-99.2 Exhibit 99.2 Transcript Surgalign Holdings, Inc. (Q3 2020 Results) November 11, 2020 Corporate Speakers • Jonathon Singer; Surgalign Holdings, Inc.; Chief Financial and Operating Officer • Terry Rich; Surgalign Holdings, Inc.; President and CEO Participants • Matthew Hewitt; Craig-Hallum Capital Group LLC; Analyst • Brandon Folkes; Cantor Fitzgerald & Co.; Analyst • James Sidoti; Sidoti &

November 12, 2020 8-K/A

Financial Statements and Exhibits, Results of Operations and Financial Condition - 8-K/A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K/A (Amendment No.

November 12, 2020 EX-99.1

SURGALIGN HOLDINGS, INC. AND SUBSIDIARIES Condensed Consolidated Statements of Operations (Unaudited, in thousands, except share and per share data) For the Three Months Ended September 30, For the Nine Months Ended September 30, 2020 2019 2020 2019

Exhibit 99.1 Surgalign Holdings, Inc. Announces Third Quarter 2020 Results November 11, 2020 Jonathon Singer Investor and Media Contact [email protected] +1 224 303 4651 Deerfield, Ill., Nov. 11, 2020 ? Surgalign Holdings, Inc. (Nasdaq: SRGA), a global pure-play spine company focused on advancing spine surgery including through the application of digital technologies to improve patient outcome

November 12, 2020 8-K

Regulation FD Disclosure, Financial Statements and Exhibits

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) November 12, 2020 SURGALIGN HOLDINGS, INC.

November 12, 2020 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) November 11, 2020 SURGALIGN HOLDINGS, INC.

November 12, 2020 EX-99.1

FORWARD LOOKING STATEMENTS This presentation contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. These forward-looking statements are based on management’s current expectations, estimates an

Exhibit 99.1 Virtual Investors? Day November 12, 2020Exhibit 99.1 Virtual Investors? Day November 12, 2020 FORWARD LOOKING STATEMENTS This presentation contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. These forward-looking statements are based on management?s current expectations, estimates and projections about our industry, our manag

November 10, 2020 NT 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 12b-25 NOTIFICATION OF LATE FILING (Check One): ☐ Form 10-K ☐ Form 20-F ☐ Form 11-K ☒ Form 10-Q ☐ Form 10-D ☐ Form N-CEN ☐ Form N-CSR For Period Ended: September 30, 2020 ☐

OMB APPROVAL OMB Number: 3235-0058 Expires: February 28, 2022 Estimated average burden hours per response 2.

November 6, 2020 8-K

Regulation FD Disclosure, Financial Statements and Exhibits - FORM 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) November 5, 2020 SURGALIGN HOLDINGS, INC.

November 6, 2020 EX-99.1

Surgalign Holdings, Inc. Announces Date Change for Third Quarter 2020 Earnings Release and Conference Call

EX-99.1 Exhibit 99.1 Surgalign Holdings, Inc. Announces Date Change for Third Quarter 2020 Earnings Release and Conference Call November 5, 2020 Jonathon Singer Investor and Media Contact [email protected] +1 224 303 4651 Deerfield, Ill., Nov 5, 2020 – Surgalign Holdings, Inc. (Nasdaq: SRGA), a global pure-play spine company focused on advancing spine surgery, including through the application

November 2, 2020 SC 13D

SRGA / Surgalign Holdings, Inc. / Roboticine, Inc. - SC 13D Activist Investment

SC 13D UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D Under the Securities Exchange Act of 1934 (Amendment No. )* Surgalign Holdings, Inc. (Name of Issuer) Common Stock, par value $0.001 per share (Title of Class of Securities) 86882C105 (CUSIP Number) Pawel Lewicki 296 Woodward Blvd. Tulsa, Oklahoma 74114 (918) 513-2636 (Name, Address and Telephone Number of

November 2, 2020 EX-99.A

Joint Filing Agreement

EX-99.A Exhibit A Joint Filing Agreement The undersigned each hereby agree and consent to the joint filing on their behalf of a Schedule 13D, including amendments thereto (as amended, the “Schedule 13D”) in connection with their beneficial ownership of shares of common stock of Surgalign Holdings, Inc., a Delaware corporation, and further agrees that this Joint Filing Agreement be included as an e

October 23, 2020 EX-99.2

FIRST AMENDMENT TO STOCK PURCHASE AGREEMENT

EX-99.2 Exhibit 99.2 Pursuant to Item 601(b)(2)(ii) of Regulation S-K, certain information contained in this document, marked by brackets as [**], has been omitted because it is both (i) not material and (ii) would likely cause competitive harm to the registrant if publicly disclosed. FIRST AMENDMENT TO STOCK PURCHASE AGREEMENT This FIRST AMENDMENT TO STOCK PURCHASE AGREEMENT (this “Amendment”) da

October 23, 2020 8-K

Regulation FD Disclosure, Entry into a Material Definitive Agreement, Unregistered Sales of Equity Securities, Financial Statements and Exhibits, Completion of Acquisition or Disposition of Assets, Other Events - FORM 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) October 23, 2020 SURGALIGN HOLDINGS, INC.

October 23, 2020 EX-99.1

Surgalign Holdings, Inc. Announces Completion of Acquisition of Holo Surgical Inc. and its ARAI Digital Surgery Platform Acquisition Delivers on Commitment to the Promise of Digital Surgery to Improve Patient Outcomes Deerfield, Ill., Oct 23, 2020 –

EX-99.1 Exhibit 99.1 Surgalign Holdings, Inc. Announces Completion of Acquisition of Holo Surgical Inc. and its ARAI Digital Surgery Platform Acquisition Delivers on Commitment to the Promise of Digital Surgery to Improve Patient Outcomes Deerfield, Ill., Oct 23, 2020 – Surgalign Holdings, Inc. (Nasdaq: SRGA), a global pure-play spine company focused on advancing spine surgery including through th

October 5, 2020 EX-2.1

Stock Purchase Agreement, dated as of September 29, 2020, by and among Surgalign Holdings, Inc., Roboticine, Inc., Holo Surgical S.A., Pawel Lewicki and Krzysztof Siemionow

EX-2.1 Exhibit 2.1 EXECUTION VERSION Pursuant to Item 601(b)(2)(ii) of Regulation S-K, certain information contained in this document, marked by brackets as [**], has been omitted because it is both (i) not material and (ii) would likely cause competitive harm to the registrant if publicly disclosed. In addition, pursuant to Item 601(a)(6) of Regulation S-K, certain personally identifiable informa

October 5, 2020 8-K

Entry into a Material Definitive Agreement, Unregistered Sales of Equity Securities, Financial Statements and Exhibits - FORM 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) September 29, 2020 SURGALIGN HOLDINGS, INC.

September 30, 2020 8-K

Regulation FD Disclosure, Financial Statements and Exhibits - FORM 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) September 29, 2020 SURGALIGN HOLDINGS, INC.

September 30, 2020 EX-99.1

Surgalign Holdings, Inc. Announces Agreement to Acquire Holo Surgical Inc. and its ARAI™ Digital Surgery Platform Commitment to the Promise of Digital Surgery to Improve Patient Outcomes

EX-99.1 Exhibit 99.1 Surgalign Holdings, Inc. Announces Agreement to Acquire Holo Surgical Inc. and its ARAI™ Digital Surgery Platform Commitment to the Promise of Digital Surgery to Improve Patient Outcomes Deerfield, Ill., Sept 29, 2020 – Surgalign Holdings, Inc. (Nasdaq: SRGA), a global pure-play spine company focused on advancing spine surgery including through the application of digital techn

September 30, 2020 EX-99.2

Forward Looking Statements This presentation contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. These forward-looking statements are based on management’s current expectations, estimates an

EX-99.2 SurgalignTM TO add HOLOSURGICALTM, A revolutionary digital surgery platform. Changing the Game: Exhibit 99.2 Forward Looking Statements This presentation contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. These forward-looking statements are based on management’s current expectations, estimates and projections about our industry,

August 12, 2020 EX-10.6

Amended and Restated Employment Agreement, dated June 15, 2020, by and between the Company and Terry M. Rich

Exhibit 10.6 RTI Surgical HOLDINGS, Inc. AMENDED AND RESTATED EMPLOYMENT AGREEMENT AMENDED AND RESTATED EMPLOYMENT AGREEMENT (this “Agreement”) dated as of June 15, 2020, between RTI Surgical Holdings, Inc., a Delaware corporation (the “Company”), and Terry M. Rich (the “Employee”). W I T N E S S E T H WHEREAS, the Company has employed the Employee as the President of Spine (Global Spine) of the C

August 12, 2020 EX-10.4

Consultant Agreement, dated July 20, 2020, by and between the Company and Stuart F. Simpson

Exhibit10.4 CONSULTANT AGREEMENT This CONSULTANT AGREEMENT (this “Agreement”), dated July 20, 2020 (the “Effective Date”), is entered into by and between Stuart F. Simpson (the “Consultant”) and Surgalign Holdings, Inc., (f/k/a RTI Surgical Holdings, Inc.) a Delaware corporation (“Surgalign”) (each individually a “Party”, and collectively the “Parties”). BACKGROUND Surgalign is a global medical te

August 12, 2020 10-Q

Quarterly Report - 10-Q Q2

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) ☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended June 30, 2020 OR ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to Commission file number 001-38832 SURGALIGN H

August 12, 2020 EX-10.7

Stand Alone Restricted Stock Agreement for Terry M. Rich, dated November 29, 2019, by and between the Company and Terry M. Rich

Exhibit10.7 RTI SURGICAL HOLDINGS, INC. STAND ALONE RESTRICTED STOCK AGREEMENT FOR TERRY M. RICH 1.Award of Restricted Stock. RTI SURGICAL HOLDINGS, INC., a Delaware corporation (the “Company”) hereby grants, as of November 29, 2019 (the “Date of Grant”), as an inducement to accept an offer of employment, to Terry M. Rich (the “Recipient”), a number of restricted shares of the Company’s common sto

August 12, 2020 EX-10.8

Stand Alone Nonqualified Stock Option Agreement for Terry M. Rich, dated November 29, 2019, by and between the Company and Terry M. Rich

Exhibit 10.8 Execution Version RTI SURGICAL HOLDINGS, INC. STAND ALONE NONQUALIFIED STOCK OPTION AGREEMENT FOR TERRY M. RICH 1.Grant of Option. RTI SURGICAL HOLDINGS, INC., a Delaware corporation (the “Company”) hereby grants, as of November 29, 2019 (“Date of Grant”), as an inducement to accept an offer of employment, to Terry M. Rich (the “Optionee”) an option (the “Option”) to purchase up to 18

August 12, 2020 EX-10.5

Separation Agreement and General Release, dated July 17, 2020, by and between the Company and Camille Farhat

Exhibit10.5 SEPARATION AGREEMENT AND GENERAL RELEASE This Separation Agreement and General Release (this “Separation Agreement”), dated July 17, 2020, is made and entered into between Camille Farhat (“Executive”) and RTI Surgical, Inc. (“Employer”), a subsidiary of RTI Surgical Holdings, Inc. (“Holdings”). BACKGROUND Employer and Executive entered into an Employment Agreement dated January 26, 201

August 11, 2020 NT 10-Q

- NT 10-Q

NT 10-Q OMB APPROVAL OMB Number: 3235-0058 Expires: February 28, 2022 Estimated average burden hours per response 2.

August 7, 2020 EX-99.1

Surgalign Holdings, Inc. Announces Second Quarter 2020 Results

EX-99.1 Exhibit 99.1 Press Release Surgalign Holdings, Inc. Announces Second Quarter 2020 Results Deerfield, Ill., Aug 7, 2020 – Surgalign Holdings, Inc. (Nasdaq: SRGA), a leading global pure-play spine company focused on advancing spine surgery and improving patient outcomes, today reported operating results for the second quarter of 2020. The sale of RTI Surgical Holdings, Inc.’s (“RTI”) OEM bus

August 7, 2020 8-K

Financial Statements and Exhibits, Results of Operations and Financial Condition

Form 8-K UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) August 7, 2020 SURGALIGN HOLDINGS, INC.

August 4, 2020 8-K

Regulation FD Disclosure, Financial Statements and Exhibits

Form 8-K UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) August 3, 2020 SURGALIGN HOLDINGS, INC.

August 4, 2020 EX-99.1

Surgalign Holdings, Inc. Announces Date Change for Second Quarter 2020 Earnings Release and Conference Call

EX-99.1 Exhibit 99.1 Surgalign Holdings, Inc. Announces Date Change for Second Quarter 2020 Earnings Release and Conference Call Deerfield, Ill., Aug 3, 2020 – Surgalign Holdings, Inc. (Nasdaq: SRGA), a leading global pure-play spine company focused on advancing spine surgery and improving patient outcomes, today announced that it is changing its earnings release and conference call date for the s

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