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