0001567619-22-008501.txt : 20220413 0001567619-22-008501.hdr.sgml : 20220413 20220413180857 ACCESSION NUMBER: 0001567619-22-008501 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220411 FILED AS OF DATE: 20220413 DATE AS OF CHANGE: 20220413 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mickelson Erik E CENTRAL INDEX KEY: 0001923156 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40902 FILM NUMBER: 22825576 MAIL ADDRESS: STREET 1: C/O PARAGON 28, INC. STREET 2: 14445 GRASSLANDS DRIVE CITY: ENGLEWOOD STATE: CO ZIP: 80112 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Paragon 28, Inc. CENTRAL INDEX KEY: 0001531978 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 273170186 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 8310 SOUTH VALLEY HIGHWAY STREET 2: SUITE 3115 CITY: ENGLEWOOD STATE: CO ZIP: 80112 BUSINESS PHONE: 888-728-1888 MAIL ADDRESS: STREET 1: 8310 SOUTH VALLEY HIGHWAY STREET 2: SUITE 3115 CITY: ENGLEWOOD STATE: CO ZIP: 80112 4 1 doc1.xml FORM 4 X0306 4 2022-04-11 0 0001531978 Paragon 28, Inc. FNA 0001923156 Mickelson Erik E C/O PARAGON 28, INC. 14445 GRASSLANDS DIVE ENGLEWOOD CO 80112 0 1 0 0 Chief Accounting Officer Stock Option (Right to Buy) 15.53 2022-04-11 4 A 0 17462 0 A 2032-04-10 Common Stock 17462 17462 D The shares subject to the option vest in equal annual installments starting on the first anniversary measured from April 11, 2022 (the "Vesting Commencement Date"), such that 100% of the shares subject to the option will be fully vested and exercisable on the fourth anniversary of the Vesting Commencement Date. /s/ Jonathan Friedman, as Attorney-in-Fact for Erik Mickelson 2022-04-13