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      <secFileNumber>001-32358</secFileNumber>
      <issuerAddress>
        <com:street1>3000 TECHNOLOGY DRIVE</com:street1>
        <com:street2>SUITE 400</com:street2>
        <com:city>PLANO</com:city>
        <com:stateOrCountry>TX</com:stateOrCountry>
        <com:zipCode>75074</com:zipCode>
      </issuerAddress>
      <issuerContactPhone>800-611-8488</issuerContactPhone>
      <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>WALLACE MICHAEL W</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
      <relationshipsToIssuer>
        <relationshipToIssuer>Officer</relationshipToIssuer>
      </relationshipsToIssuer>
    </issuerInfo>
    <securitiesInformation>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <brokerOrMarketmakerDetails>
        <name>Charles Schwab &amp; Co., Inc.</name>
        <address>
          <com:street1>3000 Schwab Way</com:street1>
          <com:city>Westlake</com:city>
          <com:stateOrCountry>TX</com:stateOrCountry>
          <com:zipCode>76262</com:zipCode>
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      </brokerOrMarketmakerDetails>
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      <aggregateMarketValue>194400.00</aggregateMarketValue>
      <noOfUnitsOutstanding>20272355</noOfUnitsOutstanding>
      <approxSaleDate>11/19/2024</approxSaleDate>
      <securitiesExchangeName>NASDAQ</securitiesExchangeName>
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      <acquiredDate>02/29/2024</acquiredDate>
      <natureOfAcquisitionTransaction>Stock Award</natureOfAcquisitionTransaction>
      <nameOfPersonfromWhomAcquired>Issuer</nameOfPersonfromWhomAcquired>
      <isGiftTransaction>N</isGiftTransaction>
      <amountOfSecuritiesAcquired>12000</amountOfSecuritiesAcquired>
      <paymentDate>02/29/2024</paymentDate>
      <natureOfPayment>Compensation</natureOfPayment>
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    <nothingToReportFlagOnSecuritiesSoldInPast3Months>N</nothingToReportFlagOnSecuritiesSoldInPast3Months>
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      <sellerDetails>
        <name>Michael Wallace</name>
        <address>
          <com:street1>3000 TECHNOLOGY DRIVE, SUITE 400</com:street1>
          <com:city>PLANO</com:city>
          <com:stateOrCountry>TX</com:stateOrCountry>
          <com:zipCode>75074</com:zipCode>
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      <securitiesClassTitle>Common</securitiesClassTitle>
      <saleDate>08/20/2024</saleDate>
      <amountOfSecuritiesSold>25000</amountOfSecuritiesSold>
      <grossProceeds>369896.40</grossProceeds>
    </securitiesSoldInPast3Months>
    <noticeSignature>
      <noticeDate>11/19/2024</noticeDate>
      <signature>Michael Wallace</signature>
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144
0001070123
XXXXXXXX
LIVE
0001289945
Spok Holdings, Inc
001-32358
3000 TECHNOLOGY DRIVE
SUITE 400
PLANO
TX
75074
800-611-8488
WALLACE MICHAEL W
Officer
Common
Charles Schwab & Co., Inc.
3000 Schwab Way
Westlake
TX
76262
12000
194400.00
20272355
11/19/2024
NASDAQ
Common
02/29/2024
Stock Award
Issuer
N
12000
02/29/2024
Compensation
N
Michael Wallace
3000 TECHNOLOGY DRIVE, SUITE 400
PLANO
TX
75074
Common
08/20/2024
25000
369896.40
11/19/2024
Michael Wallace