Document:

Fourth Amendment to the License Agreement

 Exhibit 10.38 
 FOURTH AMENDMENT TO 
 EXCLUSIVE LICENSE AGREEMENT

 This Fourth Amendment to the License and Supply Agreement (this “Amendment”) is made as of December 7,
2009 by and among Alphatec Spine, Inc., a Delaware corporation with a principal place of business at 5818 El Camino Real, Carlsbad, California 92008 (“Licensee”), Progressive Spinal Technologies LLC, a limited liability company organized
under the laws of the state of Delaware, with an address at 410 East Walnut Street, Suite #8, Perkasie, Pennsylvania 18944 (“Licensor”) and Alphatec Holdings, Inc., a Delaware corporation with a principal place of business at 5818 El
Camino Real, Carlsbad, California 92008 (“Holdings”). Capitalized terms undefined herein shall have the meaning ascribed them in the Agreement. 
 RECITALS 
 Reference is made to that certain Exclusive License Agreement
dated December 18, 2007, as amended, between the parties to this Amendment (the “Agreement”). 
 The Parties
desire to amend the Agreement as set forth herein. 
 Now, therefore, in consideration of the mutual promises set forth herein
and for other good and valuable consideration, the receipt and sufficiency of which is acknowledged by the Parties hereto, the Parties hereto agree as follows: 
 1. AMENDMENTS 
 1.1 Amendment and Restatement of
Section 4.1.2. Section 4.1.2 of the Agreement is hereby deleted and replaced in its entirety with the following language: 
 “4.1.2 Milestone Payments. Licensee shall pay milestone payments (or in the case of the Common Stock cause the issuance thereof by Holdings) to Licensor (each such payment or issuance a
“Milestone Payment”) as specified below no more than [***] ([***]) days after the occurrence of the corresponding event designated below, unless this Agreement has been terminated prior to such due date. No Milestone Payments
described in this Subsection 4.1.2 shall be credited against or otherwise reduce any other amounts payable hereunder. 
  

 Portions of this Exhibit were omitted, as indicated by [***], and have been filed
separately with the Secretary 
 of the Commission pursuant to the Registrant’s application requesting confidential
treatment under 
 Rule 24b-2 of the Securities Exchange Act of 1934, as amended. 

			
	 Event
	 	 Milestone Payment

	 [***]
	 	 [***]
 [***]

	 [***]
	 	[***]
	 [***]
	 	 [***]
 [***]

	 [***]
	 	[***]
	 [***]
	 	[***]
	 [***]
	 	[***]

 1.2 Amendment and Restatement
of Section 4.1.4. Section 4.1.4 of the Agreement is hereby deleted and replaced in its entirety with the following language: 
 “4.1.4 Minimum Royalties. Licensee shall pay Licensor the following minimum annual royalty amounts in each calendar year listed next to such amount. No minimum annual royalty described in
this Subsection 4.1.4 shall be credited against or otherwise reduce any other amounts payable hereunder. For a particular calendar year, in the event that the sum of the earned royalties on Net Sales timely paid in accordance with Subsection
4.1.3 above with respect to the four calendar quarters of such calendar year are less than the minimum annual royalty for such year designated below, the obligation to pay the difference to Licensor shall accrue on the last day of such calendar year
and be payable by Licensee no later than [***] ([***]) days following the end of such calendar year: 
  

			
	 Twelve (12) Months Ending
	 	 Minimum Annual Royalty

	 [***]
	 	[***]
	 [***]
	 	[***]
	 [***]
	 	[***]

  

 Portions of this Exhibit were omitted, as indicated by [***], and have been filed
separately with the Secretary 
 of the Commission pursuant to the Registrant’s application requesting confidential
treatment under 
 Rule 24b-2 of the Securities Exchange Act of 1934, as amended. 

 2. MISCELLANEOUS 
 In the event of any conflict between the provisions of this Amendment and the Agreement, the provisions of this Amendment shall prevail. Other than as set forth in this Amendment, the remainder of the
Agreement shall remain in full force and effect. 
 [Signatures Follow] 
  

 Portions of this Exhibit were omitted, as indicated by [***], and have been filed
separately with the Secretary 
 of the Commission pursuant to the Registrant’s application requesting confidential
treatment under 
 Rule 24b-2 of the Securities Exchange Act of 1934, as amended. 

 IN WITNESS WHEREOF, the Parties and Holdings have caused this Amendment to be executed by their duly
authorized representative. 
  

									
	ALPHATEC SPINE, INC.	  		  	PROGRESSIVE SPINAL TECHNOLOGIES LLC
					
	By:	 	 /s/ Dirk Kuyper
	  		  	By:	 	 /s/ E. Skott Greenhalgh

	Name:	 	Dirk Kuyper	  		  	Name:	 	E. Skott Greenhalgh
	Title:	 	President and CEO	  		  	Title:	 	CEO
				
	ALPHATEC HOLDINGS, INC.	  		  		 	
					
	By:	 	 /s/ Dirk Kuyper
	  		  		 	
	Name:	 	Dirk Kuyper	  		  		 	
	Title:	 	President and CEO	  		  		 	

  

 Portions of this Exhibit were omitted, as indicated by [***], and have been filed
separately with the Secretary 
 of the Commission pursuant to the Registrant’s application requesting confidential
treatment under 
 Rule 24b-2 of the Securities Exchange Act of 1934, as amended.Code of Conduct

 Exhibit 10.39 

 

 

 Code of Conduct 
 and 
 Code of Ethics for Senior Financial Officers 
  
  
 2010 Edition 

 Purpose of the Code of Conduct 
 Alphatec Spine, Inc., and its parent company, Alphatec Holdings, Inc. (collectively, with its additional subsidiaries, the
“Company”) requires legal and ethical behavior from all of its employees at all times. The Company has developed this Code of Conduct to provide you with guidance as to the necessary business conduct and principles that, if not followed by
each and every Company employee, could have a negative effect on our business success. This Code of Conduct is part of a larger process that includes compliance with the Company’s corporate policies and procedures, an open working relationship
between management and all employees, and your integrity and proper judgment. 
 In this regard you must always: 
  

	 	•	 	 comply with all applicable laws, rules, regulations and guidelines; 

  

	 	•	 	 ensure that all dealings with healthcare providers (hereinafter, each a “HCP” and collectively the “HCPs”), customers, suppliers
and competitors is conducted fairly; 

  

	 	•	 	 ensure that all conflicts of interest are handled in accordance with this Code of Conduct; 

  

	 	•	 	 refrain from using your position in the Company or the Company’s assets or information for improper personal gain; 

 

	 	•	 	 act with honesty and in the best interests of the Company when dealing with your fellow employees, and any vendor, supplier or customer with which you
have contact; 

  

	 	•	 	 take all actions necessary to ensure that the Company produces fair, accurate, timely and coherent disclosure in all reports and documents that the
Company files with the Securities and Exchange Commission, and in its communications to the public; 

  

	 	•	 	 properly use and prevent the improper disclosure of the Company’s proprietary information; and 

  

	 	•	 	 protect the Company’s assets and immediately report any suspected theft or fraud involving the Company’s assets.

  

  
 - 1 - 

 Violations of this Code of Conduct will subject you to disciplinary action, up to and
including immediate termination of your employment. You must report all violations of the Code of Conduct to your immediate supervisor or to the General Counsel and Vice President (the “Compliance Officer”) or the Vice President, Human
Resources. In addition, you can use the Compliance Telephone Hotline or the Internet Compliance Hotline (instructions for using both of these hotlines are posted in common areas in the Company’s facilities and such instructions can be located
at the following internet address http://openboard.info/atec/ to report any violations). 
 You will never be subject to
any disciplinary or retaliatory actions for reporting a violation of the Code of Conduct by a third party. It is important to note, however, that making a false or malicious report will subject you to appropriate disciplinary actions. 
 This Code of Conduct does not purport to be all of the Company’s relevant polices with regard to the matters discussed in this Code of
Conduct. You have a continuing obligation to ensure that you are familiar with all applicable laws and Company policies. 
 Following your review of this Code of Conduct you are required to sign the certification and acknowledgement of receipt that is included in this Code of Conduct. In addition, you will be required to annually recertify your receipt and
review of the Code of Conduct, and any changes thereto. 
 It is important to note that this Code of Conduct is meant to serve as
a guide and there are many scenarios or situations that are not covered. Please contact the Compliance Officer with any questions, concerns, or clarification regarding the Code of Conduct or compliance issues. 
  

  
 - 2 - 

 Compliance with Applicable Laws 
 One of the Company’s core principals is that all of its employees comply with all laws, rules, regulations and guidelines (including, without limitation the AdvaMed Code of Ethics on Interactions
with Healthcare Professionals) applicable to the medical device industry (the “Applicable Laws”). In addition to compliance with all Applicable Laws, the Company requires that you adhere to the highest standard of business ethics and
conduct. 
 If you are uncertain about any of the Applicable Laws, or if you are uncertain as to whether any Applicable Law has been violated
please contact your immediate supervisor or the Company’s Compliance Officer for clarification. 
 Interactions with Healthcare
Providers 
 AdvaMed Code of Ethics on Interactions with Healthcare Professionals 
 The Company has adopted the AdvaMed Code of Ethics on Interactions with Healthcare Professionals. The AdvaMed Code helps to provide insight and guidance on
the Company’s expectations regarding business conduct with HCPs. If you have any questions regarding the AdvaMed Code, please contact the Compliance Officer. 
 Kickbacks 
 A kickback is an act that involves the exchange or an offer to exchange or a
solicitation of payments, in any form, directly or indirectly, for the referral or growth of business. Examples of payment forms are monies, fees, commissions, credits, gifts, gratuities, or any items of value. The federal and state governments
impose criminal and civil sanctions for kickback activities involving healthcare providers. The statute was devised to oversee the integrity of the healthcare industry including medical device manufacturing with regard to reimbursement, marketing,
and ethical business conduct. All employees involved in the sale, marketing or advertising the Company and its products should ensure that all products are sold, promoted and marketed in accordance with Applicable Laws and all information
represented is correct and comprehensive. Examples of situations that could violate Applicable Laws include, but are not limited to the following: 
  

	 	•	 	 Any business ownership arrangement or relationship with a HCP or his or her agents that involve situations where there is remuneration to the HCP or
his or her family or agents; 

  

	 	•	 	 Services, gifts, non-modest meals or travel arrangements or other perquisites that are offered to a HCP or his or her family or agents (regardless of
whether you seek reimbursement from the Company); 

  

	 	•	 	 Consulting agreements, royalty agreements or honoraria that are used inappropriately; 

  

  
 - 3 - 

 Please contact the Compliance Officer with any questions or concerns you may have regarding the application
of Applicable Laws to your activities or circumstances. 
 Venues 
 All venues or accommodations that are chosen for the purpose of training, meetings, conferences or other educational purposes, should be moderately priced, and should focus on the specific function of the
event and the convenience of its location for the attendees. This applies not only to physical lodging and accommodations, but also to the geographical location of the chosen venue. Additionally, it is important to note that all events must be
business-oriented and Company employees cannot host events that are not specific to a business function or purpose. 
 Meals 

The Company will provide reimbursement for meals, provided that the meal is moderate in price and it is for the purpose of exchanging information
concerning business products, services, or education. In addition, all reimbursement for meals shall be subject to the Company’s travel and expense reimbursement policy. It is unacceptable to violate this policy regardless of whether or not you
seek reimbursement from the Company. 
 Travel 
 All reimbursement for HCP travel must be modest (generally only coach–class airfare is permitted). It is unacceptable to violate this policy regardless of whether or not you seek reimbursement from
the Company. 
 Gifts 
 No gifts
should be given by Company employees to HCPs. 
 If you have any questions about giving gifts, please consult with the Compliance Officer.

 It is unacceptable to violate this policy regardless of whether or not you seek reimbursement from the Company. 
 Payments to HCPs 
 Neither the Company nor
any of its employees or agents is permitted to make payments to a HCP in exchange for the HCP purchasing our products. 
 Agreements with
HCPs 
 All agreements between a HCP and the Company, whether clinical education agreements, consulting agreements, or product development
agreements, must be in writing and provide payments that will be made upon receipt of the work to be performed. All payments will be reasonable in amounts for the services performed. 
  

  
 - 4 - 

 Accurate Books and Records 
 The Company requires accurate and timely recoding of all information related to the Company and its business. You must act in a manner that ensures that all of the Company’s books, records, accounts
and financial statements are maintained in reasonable detail and accurately reflect transactions involving the Company and comply with applicable legal requirements and the Company’s internal control systems. In addition, all expense
reimbursements must accurately reflect the nature and amount of the expenses incurred. In addition, if you are involved in the Company’s public disclosure documents, you must produce complete, accurate and timely disclosure in such documents.

 Use of Company Assets and Confidential Information 
 All officers, directors and employees should endeavor to protect the Company’s assets and ensure their efficient use. Theft, carelessness and waste have a direct impact on the Company’s
profitability. Any suspected incident of theft, carelessness or waste should be immediately reported for investigation. Company equipment (including electronic mail) should not be used for non-Company business. 
 All information related to the Company’s business that is not public information (the “Confidential Information”) is an important asset that
belongs to the Company. As a condition of your employment you have executed an agreement in which you agreed to not improperly use or disclose such Confidential Information and to assign all proprietary information developed by you to the Company.
It is important that you adhere to the obligations set forth in such agreement. 
 Insider Trading 
 All rules relating to the public trading of the Company’s securities are set forth in detail in the Company’s Insider Trading Policy. You must
comply with this policy at all times. 
 Code of Ethics for Senior Financial Officers. 
 The Company’s Code of Ethics for senior financial officers (the “Code of Ethics”) (as defined below) is promulgated by the Company’s
Board of Directors under Section 406 of the Sarbanes Oxley Act of 2002 and the rules of the Securities and Exchange Commission promulgated thereunder. It contains standards for senior financial officers reasonably necessary to promote: honest
and ethical conduct, including the ethical handling of actual or apparent conflicts of interest between personal and professional relationships; full, fair, accurate, timely, and understandable disclosure in the periodic reports required to be filed
by the issuer and in other public communications; and compliance with applicable governmental laws, rules and regulations. It should be read in conjunction with the rest of this Code of Conduct. For this purpose, “senior financial officer”
includes the Chief Executive Officer, Chief Financial Officer and Principal Accounting Officer or Controller, and persons performing similar functions. 
  

  
 - 5 - 

 If you are a senior financial officer, you must: 
  

	 	•	 	 Act with honesty and integrity, avoiding actual or apparent conflicts of interest in personal and professional relationships. You should recognize that
even the appearance of a conflict of interest can damage the Company. A conflict of interest may exist because of a relationship of yours or of a family member that is inconsistent with the Company’s best interests or could cause a conflict
with your ability to perform your job responsibilities. 

  

	 	•	 	 Report to the Chairman of the Audit Committee any transaction that reasonably could be expected to give rise to a conflict of interest.

  

	 	•	 	 Produce, or cause to produced, full, fair, accurate, timely and understandable disclosure in reports and documents that the Company files with or
submits to the Securities and Exchange Commission and in other public communications. 

  

	 	•	 	 Comply with applicable governmental laws, rules and regulations. 

  

	 	•	 	 Promptly report any violation of this Code of Ethics to the Chairman of the Audit Committee. 

 Senior financial officers will be held accountable for their adherence to this Code of Ethics. Your failure to observe the terms of this Code of Ethics may
result in disciplinary action, up to and including immediate termination of your employment. 
 If you are a senior financial officer, any
request by you for a waiver of any provision of this Code of Ethics must be in writing and addressed to the Chairman of the Audit Committee. 
 With regard to senior financial officers, the Company’s Board of Directors will have the sole and absolute discretionary authority, acting upon such recommendation as may be made by the Audit Committee, to approve any waiver from this
Code of Ethics. Any waiver for senior financial officers from this Code of Ethics will be disclosed promptly on Form 8-K or any other means approved by the Securities and Exchange Commission. 
 Conflict of Interest and Corporate Opportunities 
 Conflicts of Interest 
 Each director, officer and employee must do everything they reasonably can to avoid conflicts of
interest or the appearance of conflicts of interest. 
  

  
 - 6 - 

 While it is not possible to identify each particular activity in which a “conflict of interest”
exists, in general a conflict of interest exists when an individual’s private interest interferes in any way with the interests of the Company. If you or any of your family members are engaged in the activities set forth below then there may be
a conflict of interest and you must disclose the facts related to this activity in your signed certification. If subsequent to your signing the certification, any of the following activities occur, you must immediately report such
activity to your immediate supervisor or the Compliance Officer: 
  

	 	•	 	 Any ownership interest in a supplier, customer, distributor or competitor of the Company (other than the ownership of less than 1% of the outstanding
stock of a publicly traded company); 

  

	 	•	 	 Any employment, business ownership arrangement or consulting relationship with any HCP, supplier, customer, distributor or competitor of the Company;

  

	 	•	 	 Any receipt of a personal benefit from any HCP, supplier, customer, distributor or competitor of the Company; 

  

	 	•	 	 Any activity that can be reasonably expected to harm a relationship between the Company and any HCP, supplier, customer, distributor or competitor of
the Company; 

  

	 	•	 	 Any business activity that is competitive with the Company’s business; 

  

	 	•	 	 Any instance in which you or a member of your family will benefit personally from something you do or fail to do that is not in the best interests of
the Company; 

  

	 	•	 	 Any activity that may make it difficult to for you to achieve your Company tasks and responsibilities objectively and effectively;

  

	 	•	 	 Any service on any board of directors or advisory board of any supplier, customer, distributor or competitor of the Company;

  

	 	•	 	 Any situation in which you are responsible for managing or reviewing the performance of an employee that is also one of your relatives; and

  

	 	•	 	 Any activity that requires you to disclose any of the Company’s Confidential Information without proper authorization from the Company.

 If you are uncertain about any activities that are an actual or potential cause of a conflict of interest involving you or
any other director, officer or employee please contact your immediate supervisor or the Compliance Officer for clarification. 
 The Company
reserves the right to determine when an actual or potential conflict of interest exists and then to take any action it deems appropriate to prevent the conflict of interest from occurring. Such action may include, but is not limited to, disgorgement
of the benefit received as a result of the conflict of interest, realigning your duties or responsibilities or disciplinary action, up to and including termination of your employment. 
  

  
 - 7 - 

 Corporate Opportunities 
 No director, officer or employee will: 
  

	 	•	 	 take for himself or herself personally any opportunity of which he or she becomes aware, or to which he or she obtains access, through the use of
corporate property, information or his or her position; 

  

	 	•	 	 make it possible for someone other than the Company to take advantage of an opportunity in any of the Company’s areas of business of which the
director, officer or employee becomes aware in the course of his or her activities on behalf of the Company, unless the Company has expressly decided not to attempt to take advantage of the opportunity; 

  

	 	•	 	 use the Company’s real, personal tangible or intangible property, information, or your position for personal gain; or

  

	 	•	 	 compete with the Company generally or with regard to specific transactions or opportunities; however, members of the Company’s Board of Directors
shall be entitled to serve as officers and directors of other companies, including our competitors, provided that such activities hare disclosed to and approved by the Company’s Board of Directors. 

 In addition, you acknowledge and agree that you owe a duty to the Company to advance the Company’s legitimate interests when the opportunity to do so
arises. 
  

  
 - 8 - 

 Unfair Competition 
 Although the free enterprise system is based upon competition, rules have been imposed stating what can and what cannot be done in a competitive environment. The following practices are violations of the
Code of Conduct and can lead to liability for “unfair competition”: 
  

	 	•	 	 False disparagement of competitors; 

  

	 	•	 	 Illegal or deceptive disruption of a competitor’s business; and 

  

	 	•	 	 Misrepresentations of the Company’s prices or products. 

 Antitrust Concerns 
 Federal and state antitrust laws are intended to preserve the free
enterprise system by ensuring that competition is the primary regulator of the economy. Every corporate decision that involves business planning with respect to output, sales and pricing raises antitrust issues. Compliance with the antitrust laws is
in the public interest, in the interest of the business community at large, and in the Company’s interest. 
 A primary focus of antitrust
laws is on dealings between competitors as to pricing, bidding, production, supply and customer practices. These laws also apply to unfair practices that may create a monopoly. In all instances in which you have a question or doubt about a
particular practice or activity you should contact the Compliance Officer. 
 Government Relations 
 All employees must adhere to the highest standards of ethical conduct in all relationships with government employees and must not improperly attempt to
influence the actions of any public official. 
 The federal government and many state and local governments have adopted comprehensive laws and
regulations governing their purchases of products from private contractors. These laws and regulations are intended to assure that governmental entities receive pricing, terms, and conditions equivalent to those granted to a company’s most
favored commercial customers and that there is full and open competition in contracting. 
 When selling products to government procurement
agencies, the Company is accountable for complying with all applicable procurement laws, regulations, and requirements. 
 Payments or gifts
shall not be made directly or indirectly to any government official or associate if the gift or payment is not in compliance with all applicable laws, rules and regulations, or if it is for the purpose of influencing or inducing the recipient’s
decision making. Under no circumstances should gifts be given to employees of any state or the federal government. 
  

  
 - 9 - 

 Company funds, property or services may not be contributed to any political party or to any candidate for or
holder of any office of any government. This policy does not preclude, where lawful, company expenditures to support or oppose public referendum or separate ballot issues, or, where lawful and when reviewed and approved in advance by the Company,
the formation and operation of a political action committee, or payments of dues or contributions to industry groups, such as the North American Spine Society. 
 Foreign Corrupt Practices Act Compliance 
 The Company observes the highest ethical
standards in all of its business transactions, including those involving foreign countries. You may not take any action in connection with any international transaction or any action in any foreign country that would be illegal or improper in the
United States. Furthermore, you are required to observe all applicable foreign laws to which you or the Company may be subject, including foreign tax laws, customs duties and regulations, drug testing, licensing, manufacturing and marketing laws,
rules and regulations and currency restrictions. You should not take any actions that are intended to improperly circumvent the application of such laws. 
 The Foreign Corrupt Practices Act prohibits the Company and you from, among other things, making an offer, payment, promise to pay or authorization of the payment of any money, or offer, gift, promise to
give, or authorization of the giving of anything of value to any foreign official, any foreign political party or official thereof or any candidate for foreign political office, or any other person, such as a foreign agent or consultant, knowing
that all or a portion of such money or thing of value will be offered, given or promised, directly or indirectly, to any foreign official, any foreign political party or official thereof, or any candidate for foreign political office, for the
purpose of (i) influencing any act or decision of such foreign official in his or her official capacity, (ii) inducing such foreign official to do or omit to do any act in violation of the lawful duty of such official, or
(iii) securing any improper advantage, or inducing such foreign official to use his or her influence with a foreign government or instrumentality thereof to affect or influence any act or decision of such government or instrumentality, in order
to assist the Company in obtaining or retaining business for or with, or directing business to, any person. 
 If you are asked to make any such
payment, you should consult with your supervisor and the Compliance Officer before taking any action. 
 Discrimination and Harassment 

 The diversity of the Company’s employees is a tremendous asset. The Company is firmly committed to providing equal opportunity in all
aspects of employment and will not tolerate any illegal discrimination or harassment. Employment decisions must be based only on an employee’s or applicant’s qualifications, demonstrated skills and achievements without regard to race,
color, sex, national origin, religion, age, disability, veteran status, citizenship, sexual orientation, gender identity or marital status. 
  

  
 - 10 - 

 Employees, officers and directors must not engage in conduct that could be construed as sexual harassment.
Unwelcome sexual advances, sexually suggestive statements or questions, offensive jokes, sexual innuendos, offensive touching or patting, requests for sexual favors, displaying or showing sexually suggestive material, and other verbal or physical
conduct of a sexual nature may be forms of sexual harassment. You should report suspected instances of sexual harassment by anyone (including persons with whom the Company does business) immediately to your human resources contact, your immediate
supervisor or the Compliance Officer. 
 Health and Safety 
 The Company strives to provide each employee with a safe and healthy work environment. Each employee has responsibility for maintaining a safe and healthy workplace for all employees by following the
Company’s safety and health rules and practices and reporting accidents, injuries and unsafe equipment, machinery, practices or conditions. 
 Violence and threatening behavior are not permitted. Employees should report to work in condition to perform their duties, free from the influence of illegal drugs or alcohol. The use or possession of alcohol (except in the case of
Company-sanctioned events), illegal drugs or prescription drugs in a manner inconsistent with prescribed directions for use, on the Company’s premises will not be tolerated. 
 Reporting and Resolution Process 
 In order to maintain the Company’s business
reputation, all employees are held accountable for maintaining the highest standards of business conduct. All employees are expected to comply with all Applicable Laws and this Code of Conduct. Failure to comply with Applicable Laws or refusal to
comply with the conditions set forth in this Code of Conduct can lead to immediate disciplinary action, up to and including termination. Thus, it is your responsibility to report any and all behaviors that you know, or suspect, to be in violation of
Applicable Laws or this Code of Conduct. 
 To report Compliance issues, you are obliged to follow this process: 
  

	 	•	 	 Complete the Code of Conduct Reporting Form attached to this document. If you do not have a form available to you, you can ask the Compliance Officer
to provide one to you. 

  

	 	•	 	 Give the completed form to the Compliance Officer immediately. If the Compliance Officer is not available, you can turn in the report to your
supervisor. 

  

	 	•	 	 It is very important that you make the report IMMEDIATELY upon knowledge of a violation of Applicable Laws or the Code of Conduct is realized.

 While the Company prefers that you follow the process outlined above, we do understand that under certain
circumstances you would prefer to remain anonymous. Under such circumstances, your obligation to report any suspected violation of Applicable Law or the Code of Conduct is just as important, but you may do so by using the Compliance Telephone
Hotline or the Online Compliance Hotline (instructions for using both of these hotlines will be posted in common areas in the Company’s facilities and such instructions can be located at the following internet address
http://openboard.info/atec/). 
  

  
 - 11 - 

 ALPHATEC SPINE, INC. 
 CODE OF CONDUCT CERTIFICATION 
 I have read the
Alphatec Spine, Inc. (the “Company”) 2010 Edition of the Code of Conduct (the “Code”). I have obtained an interpretation of any provision about which I had a question. I agree to abide by the provisions of the Code. Based on my
review, I acknowledge that 
              To the best of my
knowledge, I am not in violation of, or aware of any violation by others of, any provision contained in the Code; 
 OR

              I have made a full disclosure below of the
facts regarding any possible violation of the provisions set forth in the Code. 
 In addition, I understand that I am required
to report any suspected or actual violation of the Code. I understand that I am required to cooperate fully with the Company in connection with the investigation of any suspected violation. I understand that my failure to comply with the Code or its
procedures may result in disciplinary action, up to and including termination. 
  

			
	Signature:                                      
                                         
                              	 	
		 	
	 Name (Please
print):                                        
                                         
        
	 	
		 	
	 Date: 
                                         
                                         
                                  
	 	

 Disclosures (please list each item separately and add an additional page if required)

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