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