0001228924-19-000052.txt : 20191118 0001228924-19-000052.hdr.sgml : 20191118 20191118172252 ACCESSION NUMBER: 0001228924-19-000052 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191115 FILED AS OF DATE: 20191118 DATE AS OF CHANGE: 20191118 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Perez David Brian CENTRAL INDEX KEY: 0001765355 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11740 FILM NUMBER: 191228419 MAIL ADDRESS: STREET 1: 12100 6TH AVENUE CITY: LAKEWOOD STATE: CO ZIP: 80228 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MESA LABORATORIES INC /CO CENTRAL INDEX KEY: 0000724004 STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL INSTRUMENTS FOR MEASUREMENT, DISPLAY, AND CONTROL [3823] IRS NUMBER: 840872291 STATE OF INCORPORATION: CO FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 12100 W 6TH AVE CITY: LAKEWOOD STATE: CO ZIP: 80228 BUSINESS PHONE: 3039878000 MAIL ADDRESS: STREET 1: 12100 W 6TH AVE CITY: LAKEWOOD STATE: CO ZIP: 80228 FORMER COMPANY: FORMER CONFORMED NAME: MESA MEDICAL INC DATE OF NAME CHANGE: 19921123 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2019-11-15 0 0000724004 MESA LABORATORIES INC /CO MLAB 0001765355 Perez David Brian 12100 6TH AVENUE LAKEWOOD CO 80228 1 0 0 0 Restricted Stock Units - 2 2019-11-15 4 A 0 477 0 A Common Stock 477 477 D Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock RSUs that vest on November 15, 2020 Not Applicable David Perez 2019-11-18