0001209191-23-047894.txt : 20230831
0001209191-23-047894.hdr.sgml : 20230831
20230831210403
ACCESSION NUMBER: 0001209191-23-047894
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230830
FILED AS OF DATE: 20230831
DATE AS OF CHANGE: 20230831
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Devlin Jodi
CENTRAL INDEX KEY: 0001992151
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39813
FILM NUMBER: 231230438
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
2023-08-30
0
0001826667
TriSalus Life Sciences, Inc.
TLSI
0001992151
Devlin Jodi
6272 W. 91ST AVE.
WESTMINSTER
CO
80031
0
1
0
0
President, Therapeutics
0
Employee Stock Option (right to buy)
6.70
2023-08-30
4
A
0
195000
0.00
A
2033-08-29
Common Stock
195000
195000
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 28, 2023, and 1/36th of the remaining shares shall vest each month thereafter on the same day of the month as the vesting commencement date.
/s/ Mary Szela, Attorney-in-Fact for Jodi Devlin
2023-08-31