0001610717-23-000376.txt : 20231205
0001610717-23-000376.hdr.sgml : 20231205
20231205213113
ACCESSION NUMBER: 0001610717-23-000376
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231021
FILED AS OF DATE: 20231205
DATE AS OF CHANGE: 20231205
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DaCosta Albert
CENTRAL INDEX KEY: 0001887925
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40902
FILM NUMBER: 231468306
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: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 14445 GRASSLANDS DRIVE
CITY: ENGLEWOOD
STATE: CO
ZIP: 80112
BUSINESS PHONE: 720-912-1332
MAIL ADDRESS:
STREET 1: 14445 GRASSLANDS DRIVE
CITY: ENGLEWOOD
STATE: CO
ZIP: 80112
4
1
form4.xml
X0508
4
2023-10-21
0001531978
Paragon 28, Inc.
FNA
0001887925
DaCosta Albert
C/O PARAGON 28, INC.
14445 GRASSLANDS DRIVE
ENGLEWOOD
CO
80112
true
true
true
See Remarks
false
Common Stock
2023-10-21
4
F
0
20628
9.49
D
485882
D
Common Stock
25000
I
By Spouse
Common Stock
5311110
I
See footnote
Common Stock
5000000
I
See footnote
Payment of tax liability by withholding securities incident to vesting of restricted stock units ("RSUs").
Includes RSUs.
Includes the purchase of 30,500 shares of common stock by DaCosta Family Trust on November 10, 2023, as reported on Form 4 filed by Reporting Person on November 13, 2023.
Shares are held by The DaCosta Family Trust, of which the Reporting Person is trustee.
Shares are held by DaCosta Investment Company, LLC, of which the Reporting Person is a manager.
President & Chief Executive Officer
/s/ Robert McCormack, as Attorney-in-Fact for Albert DaCosta
2023-12-05