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