0001415889-24-003806.txt : 20240214
0001415889-24-003806.hdr.sgml : 20240214
20240214181705
ACCESSION NUMBER: 0001415889-24-003806
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240212
FILED AS OF DATE: 20240214
DATE AS OF CHANGE: 20240214
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Murphy Sean
CENTRAL INDEX KEY: 0001685042
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39813
FILM NUMBER: 24641163
MAIL ADDRESS:
STREET 1: C/O NOVAN, INC.
STREET 2: 4222 EMPEROR BOULEVAND, SUITE 200
CITY: DURHAM
STATE: NC
ZIP: 27703
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: TriSalus Life Sciences, Inc.
CENTRAL INDEX KEY: 0001826667
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
ORGANIZATION NAME: 08 Industrial Applications and Services
IRS NUMBER: 853009869
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 6272 WEST 91ST AVENUE
CITY: WESTMINSTER
STATE: CO
ZIP: 80031
BUSINESS PHONE: 415 336 8917
MAIL ADDRESS:
STREET 1: 6272 WEST 91ST AVENUE
CITY: WESTMINSTER
STATE: CO
ZIP: 80031
FORMER COMPANY:
FORMER CONFORMED NAME: MedTech Acquisition Corp
DATE OF NAME CHANGE: 20200930
4
1
form4-02142024_110255.xml
X0508
4
2024-02-12
0001826667
TriSalus Life Sciences, Inc.
TLSI
0001685042
Murphy Sean
6272 W. 91ST AVENUE
WESTMINSTER
CO
80031
true
true
false
false
CHIEF FINANCIAL OFFICER
0
Common Stock
2024-02-12
4
A
0
34144
0
A
50788
D
Common Stock
357535
I
By Murphy Family Trust 2012
Common Stock
167732
I
By Sean E Murphy TTEE U/A 2/4/2004
Employee Stock Option (right to buy)
9.50
2024-02-12
4
A
0
105000
0
A
2034-02-11
Common Stock
105000
105000
D
Represents grant of restricted stock units (the "RSU Award") payable solely in common stock of the Issuer. The shares subject to the RSU Award vest in four equal annual installments commencing on February 12, 2024, subject to the Reporting Person's continued service with the Issuer on each respective vesting date.
The Reporting Person's spouse has voting and investment discretion with respect to the shares held directly by Murphy Family Trust 2012 and thus the Reporting Person may be deemed to have beneficial ownership of the shares held directly by Murphy Family Trust 2012.
One-fourth (1/4th) of the shares subject to the option shall vest on the one-year anniversary of the vesting commencement date of February 12, 2024, and 1/36th of the remaining shares shall vest each month thereafter, subject to the Reporting Person's continued service with the Issuer on each respective vesting date.
/s/ Sean Murphy
2024-02-14