0001228924-21-000029.txt : 20210616
0001228924-21-000029.hdr.sgml : 20210616
20210616140444
ACCESSION NUMBER: 0001228924-21-000029
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210615
FILED AS OF DATE: 20210616
DATE AS OF CHANGE: 20210616
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GUILLEMIN EVAN
CENTRAL INDEX KEY: 0001246295
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-11740
FILM NUMBER: 211021209
MAIL ADDRESS:
STREET 1: 380 LAFAYETTE STREET
STREET 2: SIXTH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10003
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 LABORATORIES INC /CO
DATE OF NAME CHANGE: 19951117
FORMER COMPANY:
FORMER CONFORMED NAME: MESA MEDICAL INC
DATE OF NAME CHANGE: 19921123
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2021-06-15
0
0000724004
MESA LABORATORIES INC /CO/
MLAB
0001246295
GUILLEMIN EVAN
380 LAFAYETTE STREET
SIXTH FLOOR
NEW YORK
NY
10003
1
0
0
0
Common Stock
2021-06-15
4
M
0
30
0
A
30625
D
Common Stock
2021-06-15
4
M
0
265
0
A
30890
D
Restricted Stock Units -1
2021-06-15
4
M
0
30
0
D
Common Stock
30
60
D
Restricted Stock Units - 4
2021-06-15
4
M
0
265
0
D
Common Stock
265
0
D
Each Restricted Stock Unit represents a contingent right to receive one share of the Issuer's common stock
Restricted Stock Units that vest 1/5 on June 15, 2019 and each of the next four anniversary dates
Not Applicable
Represents Restricted Stock Units granted for the conversion of cash compensation for Board of Director services for the twelve months ended June 15, 2021
John Sakys under Power of Attorney by Evan Guillemin
2021-06-16