0001593968-21-000538.txt : 20210219 0001593968-21-000538.hdr.sgml : 20210219 20210219181613 ACCESSION NUMBER: 0001593968-21-000538 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210217 FILED AS OF DATE: 20210219 DATE AS OF CHANGE: 20210219 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Buchanan Lucas W. CENTRAL INDEX KEY: 0001769830 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38847 FILM NUMBER: 21657618 MAIL ADDRESS: STREET 1: C/O SILK ROAD MEDICAL, INC. STREET 2: 1213 INNSBRUCK DRIVE CITY: SUNNYVALE STATE: CA ZIP: 94089 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Silk Road Medical Inc CENTRAL INDEX KEY: 0001397702 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 208777622 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1213 INNSBRUCK DR. CITY: SUNNYVALE STATE: CA ZIP: 94089-2918 BUSINESS PHONE: 6505669060 MAIL ADDRESS: STREET 1: 1213 INNSBRUCK DR. CITY: SUNNYVALE STATE: CA ZIP: 94089-2918 4 1 primary_01.xml PRIMARY DOCUMENT X0306 4 2021-02-17 0001397702 Silk Road Medical Inc SILK 0001769830 Buchanan Lucas W. C/O SILK ROAD MEDICAL, INC. 1213 INNSBRUCK DRIVE SUNNYVALE CA 94089 false true false false COO/CFO Common Stock 2021-02-17 4 M false 10000 1.6 A 164606 D Common Stock 13518 I Buchanan Grandchildren's Irrevocable Trust Option (right to buy) 1.60 2021-02-17 4 M false 10000 0 D 2015-12-03 2025-12-03 Common Stock 10000 147409 D These shares are held directly by the Buchanan Grandchildren's Irrevocable Trust, for which the Reporting Person serves as a co-trustee. 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 2021-02-19