0001209191-17-067484.txt : 20171227 0001209191-17-067484.hdr.sgml : 20171227 20171227204854 ACCESSION NUMBER: 0001209191-17-067484 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171222 FILED AS OF DATE: 20171227 DATE AS OF CHANGE: 20171227 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Thomas Michael H CENTRAL INDEX KEY: 0001591272 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33092 FILM NUMBER: 171276954 BUSINESS ADDRESS: BUSINESS PHONE: 978-289-0740 MAIL ADDRESS: STREET 1: P.O. BOX 2207 CITY: NOKOMIS STATE: FL ZIP: 34274-2207 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LEMAITRE VASCULAR INC CENTRAL INDEX KEY: 0001158895 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 000000000 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 63 SECOND AVENUE CITY: BURLINGTON STATE: MA ZIP: 01803 BUSINESS PHONE: 781-221-2266 MAIL ADDRESS: STREET 1: 63 SECOND AVENUE CITY: BURLINGTON STATE: MA ZIP: 01803 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-12-22 0 0001158895 LEMAITRE VASCULAR INC LMAT 0001591272 Thomas Michael H C/O LEMAITRE VASCULAR, 63 SECOND AVENUE BURLINGTON MA 01803 1 0 0 0 Stock Option (Right to Buy) 31.30 2017-12-22 4 A 0 7500 0.00 A 2017-12-22 2022-12-22 Common Stock 7500 7500 D This option is exercisable and vests over a three-year period at a rate of 33 1/3% on the first anniversary of the date listed in the table, with the balance vesting in equal annual installments over the remaining two years. /s/ Laurie Churchill, Attorney-in-fact 2017-12-27