0001209191-23-045716.txt : 20230814 0001209191-23-045716.hdr.sgml : 20230814 20230814191024 ACCESSION NUMBER: 0001209191-23-045716 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230811 FILED AS OF DATE: 20230814 DATE AS OF CHANGE: 20230814 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cox Bryan F. CENTRAL INDEX KEY: 0001981787 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39813 FILM NUMBER: 231172724 MAIL ADDRESS: STREET 1: C/O TRISALUS LIFE SCIENCES, INC. STREET 2: 6272 W. 91ST AVENUE CITY: WESTMINSTER STATE: CO ZIP: 80031 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TriSalus Life Sciences, Inc. CENTRAL INDEX KEY: 0001826667 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071] 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 doc4.xml FORM 4 SUBMISSION X0508 4 2023-08-11 0 0001826667 TriSalus Life Sciences, Inc. TLSI 0001981787 Cox Bryan F. 6272 W. 91ST AVENUE WESTMINSTER CO 80031 0 1 0 0 Chief Scientific & Manufact. 0 Employee Stock Option (right to buy) 12.00 2023-08-11 4 A 0 40000 0.00 A 2033-08-10 Common Stock 40000 40000 D One-fourth (1/4th) of the shares subject to the option shall vest on the one-year anniversary of the Vesting Commencement Date of August 10, 2023, 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, Attorney-in-Fact for Bryan Cox 2023-08-14