0001593968-21-001264.txt : 20210510 0001593968-21-001264.hdr.sgml : 20210510 20210510210607 ACCESSION NUMBER: 0001593968-21-001264 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210506 FILED AS OF DATE: 20210510 DATE AS OF CHANGE: 20210510 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GRAVES GREGORY B CENTRAL INDEX KEY: 0001208109 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39537 FILM NUMBER: 21909283 MAIL ADDRESS: STREET 1: 129 CONCORD ROAD CITY: BILLERICA STATE: MA ZIP: 01821 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Laird Superfood, Inc. CENTRAL INDEX KEY: 0001650696 STANDARD INDUSTRIAL CLASSIFICATION: FOOD & KINDRED PRODUCTS [2000] IRS NUMBER: 474373641 STATE OF INCORPORATION: OR FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 275 W. LUNDGREN MILL DR. CITY: SISTERS STATE: OR ZIP: 97759 BUSINESS PHONE: (541) 548-0577 MAIL ADDRESS: STREET 1: 275 W. LUNDGREN MILL DR. CITY: SISTERS STATE: OR ZIP: 97759 FORMER COMPANY: FORMER CONFORMED NAME: Laird Superfood, LLC DATE OF NAME CHANGE: 20150811 4 1 primary_01.xml PRIMARY DOCUMENT X0306 4 2021-05-06 0001650696 Laird Superfood, Inc. LSF 0001208109 GRAVES GREGORY B C/O LAIRD SUPERFOOD, INC 275 W LUNDGREN MILL DR SISTERS OR 97759 true false false false Common Stock 2021-05-06 4 A false 774 0 A 27718 D Option (right to buy) 35.54 2021-05-06 4 A false 1647 0 A 2022-05-06 2031-05-06 Class A Common Stock 1647 1647 D Represents a grant of restricted stock units. The restricted stock units will vest one year after grant. /s/Andrew McCormick as attorney-in-fact for Gregory B. Graves, 2021-05-10