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