X0306 4 2019-12-17 0001397702 Silk Road Medical Inc SILK 0001770296 Ruedy Richard C/O SILK ROAD MEDICAL, INC. 1213 INNSBRUCK DRIVE SUNNYVALE CA 94089 false true false false EVPClin&Reg.Affairs&QA Common Stock 2019-12-18 4 M false 32222 0.68 A 32609 D Common Stock 2019-12-18 4 S false 32222 38 D 387 D Common Stock 2019-12-17 4 S false 10000 36.09 D 10070 I By Spouse Common Stock 2019-12-18 4 S false 10000 35.55 D 70 I By Spouse Option (right to buy) 0.68 2019-12-18 4 M false 32222 0 D 2011-10-11 2020-11-15 Common Stock 32222 0 D The option exercise and sale reported on this Form 4 were effected pursuant to Rule 10b5-1 Trading Plan adopted by the reporting person on September 13, 2019. All of the shares subject to this option are fully vested and exercisable as of the date hereof. /s/Mhairi Jones, by power of attorney 2019-12-18