X0306 4 2019-06-05 0 0001397702 Silk Road Medical Inc SILK 0001731772 Kronfol Amr C/O SILK ROAD MEDICAL, INC. 1213 INNSBRUCK DRIVE SUNNYVALE CA 94089 1 0 0 0 Director Stock Option (Right to buy) 46.15 2019-06-05 4 A 0 2177 0.00 A 2029-06-05 Common Stock 2177 2177 D One fourth of the shares subject to the option shall vest on each of September 1, 2019, December 1, 2019, March 1, 2020, and the date of the Issuer's 2020 annual meeting of stockholders, subject to the Reporting Person continuing as a service provider through each such date. /s/ Mhairi Jones, by power of attorney 2019-06-07