0001415889-24-012501.txt : 20240507
0001415889-24-012501.hdr.sgml : 20240507
20240507175615
ACCESSION NUMBER: 0001415889-24-012501
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240506
FILED AS OF DATE: 20240507
DATE AS OF CHANGE: 20240507
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hyveled Liselotte
CENTRAL INDEX KEY: 0002015594
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39813
FILM NUMBER: 24923502
MAIL ADDRESS:
STREET 1: TRISALUS LIFE SCIENCES, INC.
STREET 2: 6272 W. 91ST AVE.
CITY: WESTMINSTER
STATE: CO
ZIP: 80031
FORMER NAME:
FORMER CONFORMED NAME: Hyveled Lisellete
DATE OF NAME CHANGE: 20240314
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
form4-05072024_090508.xml
X0508
4
2024-05-06
0001826667
TriSalus Life Sciences, Inc.
TLSI
0002015594
Hyveled Liselotte
6272 W. 91ST AVE.
WESTMINSTER
CO
80031
true
false
false
false
0
Stock Option (right to buy)
9.62
2024-05-06
4
A
0
35000
0
A
2034-05-05
Common Stock
35000
35000
D
The shares subject to this stock option vest in three equal annual installments from the vesting commencement date of May 6, 2024, subject to the Reporting Person's continued service with the Issuer on each respective vesting date.
Sean Murphy, Attorney-in-Fact for Liselotte Hyveled
2024-05-07