0001209191-23-009582.txt : 20230214 0001209191-23-009582.hdr.sgml : 20230214 20230214210028 ACCESSION NUMBER: 0001209191-23-009582 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221231 FILED AS OF DATE: 20230214 DATE AS OF CHANGE: 20230214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TIMBIE THOMAS E CENTRAL INDEX KEY: 0001188309 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40355 FILM NUMBER: 23633312 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TREACE MEDICAL CONCEPTS, INC. CENTRAL INDEX KEY: 0001630627 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 471052611 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 100 PALMETTO PARK PLACE CITY: PONTE VEDRA STATE: FL ZIP: 32081 BUSINESS PHONE: (904) 373-5940 MAIL ADDRESS: STREET 1: 100 PALMETTO PARK PLACE CITY: PONTE VEDRA STATE: FL ZIP: 32081 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2022-12-31 0 0 0 0001630627 TREACE MEDICAL CONCEPTS, INC. TMCI 0001188309 TIMBIE THOMAS E C/O TREACE MEDICAL CONCEPTS, INC. 100 PALMETTO PARK PLACE PONTE VEDRA FL 32081 1 0 0 0 Common Stock 2022-11-11 5 G 0 15000 0.00 D 370000 I Pamela Timbie and Thomas Timbie as Trustees of the PAMELA F TIMBIE REV TRUST Common Stock 2295 D Common Stock 1299069 I Thomas E. Timbie and Pamela F. Timbie, TTEEs of the Thomas E. Timbie Rev Trust u/a dtd May 2, 2001 Includes 2,295 RSUs. /s/ Lisa Taylor as Attorney-in-fact for Thomas Timbie 2023-02-14