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