X0306 4/A 2019-06-05 2019-06-07 0 0001397702 Silk Road Medical Inc SILK 0001476171 Mittendorff Robert 525 UNIVERSITY AVENUE SUITE 800 PALO ALTO CA 94301 1 0 0 0 Director Stock Option (Right to buy) 46.15 2019-06-05 4 A 0 2503 0.00 A 2029-06-05 Common Stock 2503 2503 D This Form 4 amendment is being filed solely to add the Power of Attorney, attached as Exhibit 24. 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. Exhibit 24 - Power of Attorney /s/ Mhairi Jones, by power of attorney 2019-06-10